Provider Demographics
NPI:1477006401
Name:SEAGER, JILL
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:SEAGER
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 1:265 TANGLEWOOD LN
Mailing Address - Street 2:STE E-1
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-0000
Mailing Address - Country:US
Mailing Address - Phone:970-468-1003
Mailing Address - Fax:970-262-2196
Practice Address - Street 1:265 TANGLEWOOD LN
Practice Address - Street 2:STE E-1
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-0000
Practice Address - Country:US
Practice Address - Phone:970-468-1003
Practice Address - Fax:970-262-2196
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical