Provider Demographics
NPI:1568486199
Name:DOUGLAS J SEIP MD LTD
Entity Type:Organization
Organization Name:DOUGLAS J SEIP MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SEIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-304-1911
Mailing Address - Street 1:4132 S RAINBOW BLVD
Mailing Address - Street 2:#315
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3106
Mailing Address - Country:US
Mailing Address - Phone:702-304-1911
Mailing Address - Fax:
Practice Address - Street 1:5765 S FORT APACHE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5625
Practice Address - Country:US
Practice Address - Phone:702-304-1911
Practice Address - Fax:702-304-2611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4420207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVD44478Medicare UPIN