Provider Demographics
NPI:1356687149
Name:SEIGLA, RUTH
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:SEIGLA
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 1:11895 MARTIN ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:SARDINIA
Mailing Address - State:OH
Mailing Address - Zip Code:45171-9604
Mailing Address - Country:US
Mailing Address - Phone:937-515-2470
Mailing Address - Fax:
Practice Address - Street 1:11895 MARTIN ALEXANDER RD
Practice Address - Street 2:
Practice Address - City:SARDINIA
Practice Address - State:OH
Practice Address - Zip Code:45171-9604
Practice Address - Country:US
Practice Address - Phone:937-515-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-24
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH075397164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse