Provider Demographics
NPI:1093876112
Name:SEIGLA, RONALD EMERSON (R PH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EMERSON
Last Name:SEIGLA
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 MARTHA AVE
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE FINANCE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-2432
Mailing Address - Country:US
Mailing Address - Phone:937-433-7192
Mailing Address - Fax:
Practice Address - Street 1:194 MARTHA AVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE FINANCE
Practice Address - State:OH
Practice Address - Zip Code:45458-2432
Practice Address - Country:US
Practice Address - Phone:937-433-7192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-07044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist