Provider Demographics
NPI:1467639591
Name:KAREN L SEAVER MD PLC
Entity Type:Organization
Organization Name:KAREN L SEAVER MD PLC
Other - Org Name:KAREN L. SEAVER, MD, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-739-2444
Mailing Address - Street 1:1325 MERCY DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-1884
Mailing Address - Country:US
Mailing Address - Phone:231-739-2444
Mailing Address - Fax:
Practice Address - Street 1:1325 MERCY DR.
Practice Address - Street 2:SUITE 2
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-1884
Practice Address - Country:US
Practice Address - Phone:231-739-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301042032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI141999410Medicaid
MI1106100012OtherBCBS OF MI
MI1106100012OtherBCBS OF MI
161084Medicare PIN
2610034Medicare PIN
A73522Medicare UPIN