MEDICARE: DR. CHRISTINE MICHELLE SEALS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD22714	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080159825	OTHER	OR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MD22714	OTHER	OR	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1164412755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MICHELLE SEALS MD

Provider Business Mailing Address
First Line	:	1777 LARIMER ST APT 605
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1543
Country	:	US
Telephone Number	:	541-530-7849
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 E PARK ST
Second Line	:
City	:	EKALAKA
State	:	MT
Zip	:	59324
Country	:	US
Telephone Number	:	541-530-7849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	09/26/2025

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