Provider Demographics
NPI:1982601589
Name:SEHL, GEORGE SAMUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SAMUEL
Last Name:SEHL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2129
Mailing Address - Country:US
Mailing Address - Phone:401-261-4004
Mailing Address - Fax:
Practice Address - Street 1:40 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2129
Practice Address - Country:US
Practice Address - Phone:401-261-4004
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
RI0335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIC90522Medicare UPIN