MEDICARE: WILLIAM STEPHEN SEIPP AU.D.

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	231H00000X	Audiologist	00165	MD

General Provider Information

NPI Number	:	1679574214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM STEPHEN SEIPP AU.D.

Provider Business Mailing Address
First Line	:	1407 YORK RD
Second Line	:	SUITE 201
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6097
Country	:	US
Telephone Number	:	410-583-7021
Fax Number	:	410-828-8789

Provider Business Practice Location Address
First Line	:	1407 YORK RD
Second Line	:	SUITE 201
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6097
Country	:	US
Telephone Number	:	410-583-7021
Fax Number	:	410-828-8789

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/05/2007

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