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NPI Code Detail

MEDICARE: MS. JILL M SENG PA-C

MEDICARE:  MS. JILL M SENG  PA-C
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
1363A00000XPhysician AssistantPA.0004544CO
2363A00000XPhysician Assistant10001594AIN

General Provider Information

NPI Number : 1346678141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL M SENG PA-C
Provider Business Mailing Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2514
Country : US
Telephone Number : 812-996-0299
Fax Number : 812-996-8497
Provider Business Practice Location Address
First Line : 695 W 2ND ST STE 2A
Second Line :
City : JASPER
State : IN
Zip : 47546-3240
Country : US
Telephone Number : 812-996-5950
Fax Number : 812-996-5951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2013
Last Update Date : 04/29/2022

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Directions to “ MS. JILL M SENG PA-C” Practice Location

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