Seidel, Robert K

Seidel, Robert K is an individual health care provider with primary practice located at 3624 W Market St Ste 103 , Fairlawn OH 44333-4510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Seidel, Robert K can be contacted via phone (330) 665-4430.

Contact Information

Primary practice address
3624 W Market St Ste 103 Fairlawn OH 44333-4510
Phone: (330) 665-4430
Fax: (330) 666-9012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35-03-8098-S Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-038098 Ohio

Profile Details

NPI number 1831178516
LBN Legal business name Seidel, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Apr 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831178516 NPPES
Ohio Other 000000313737 ANTHEM
Ohio Other P00063352 ANTHEM
Ohio Other 03052975300 ANTHEM
Ohio MEDICAID 0272306 ANTHEM

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