Provider Demographics
NPI:1629165113
Name:SETZER, PATRICIA W
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:W
Last Name:SETZER
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 1:1701 N MAIN ST STE H
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-2638
Mailing Address - Country:US
Mailing Address - Phone:336-886-8464
Mailing Address - Fax:
Practice Address - Street 1:1701 N MAIN ST STE H
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2638
Practice Address - Country:US
Practice Address - Phone:336-886-8464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23397-94708332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies