Richard S Seaboch is a Surgical in Peoria, Illinois. Richard S Seaboch practices all healthcare services and medical treatments related to Surgical. The NPI Number for Richard S Seaboch is 1043227846. The last update date is 2010-08-31.
Richard S Seaboch's current location address is 5405 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096914410 and fax number 3095892830. The mailing address for Richard S Seaboch is 5405 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard S Seaboch |
|---|---|
| Address | 5405 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096914410 |
| Fax Number | 3095892830 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1043227846 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2010-08-31 |
Provider Mailing Address Detail
| Address | 5405 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096914410 |
| Fax Number | 3095892830 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 85001201 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001201 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard S Seaboch by the Centers for Medicare & Medicaid Services?
The Richard S Seaboch has been assigned the NPI (National Provider Identifier) 1043227846 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard S Seaboch is geographically located?
The Richard S Seaboch is physically situated at the following location: 5405 N Knoxville Ave, Peoria, IL, 61614.
What is Richard S Seaboch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard S Seaboch is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043227846 to Richard S Seaboch?
The Richard S Seaboch received its 1043227846 assignment from the Centers for Medicare & Medicaid Services on 2006-08-02.
When was the Richard S Seaboch's information last updated?
The Richard S Seaboch's information was last updated on 2010-08-31.