Provider Demographics
NPI:1164139317
Name:SETON, CAROL O
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:O
Last Name:SETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 WECKERLY RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9579
Mailing Address - Country:US
Mailing Address - Phone:419-309-1156
Mailing Address - Fax:419-877-2701
Practice Address - Street 1:6160 WECKERLY RD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571-9579
Practice Address - Country:US
Practice Address - Phone:419-309-1156
Practice Address - Fax:419-877-2701
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide