Provider Demographics
NPI:1457779647
Name:SEAWEL, ALISON I
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SEAWEL
Suffix:I
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 1:2206 EARLEEN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-1812
Mailing Address - Country:US
Mailing Address - Phone:573-579-7888
Mailing Address - Fax:
Practice Address - Street 1:2206 EARLEEN ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-1812
Practice Address - Country:US
Practice Address - Phone:573-579-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker