Provider Demographics
NPI:1417198730
Name:SEABERT, JAMES CLARK (MD, PHD, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLARK
Last Name:SEABERT
Suffix:
Gender:M
Credentials:MD, PHD, FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AN DEN QUELLEN 1
Mailing Address - Street 2:
Mailing Address - City:WIESBADEN
Mailing Address - State:HESSEN
Mailing Address - Zip Code:65183
Mailing Address - Country:DE
Mailing Address - Phone:004961-130-2832
Mailing Address - Fax:
Practice Address - Street 1:AN DEN QUELLEN 1
Practice Address - Street 2:
Practice Address - City:WIESBADEN
Practice Address - State:HESSEN
Practice Address - Zip Code:65183
Practice Address - Country:DE
Practice Address - Phone:004961-130-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ070930207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology