Provider Demographics
NPI:1982705117
Name:SEALS, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:SEALS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USCG PATFOR SWA
Mailing Address - Street 2:UNIT 3950
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09501-3950
Mailing Address - Country:BH
Mailing Address - Phone:9733-932-0652
Mailing Address - Fax:
Practice Address - Street 1:USCG PATFOR SWA
Practice Address - Street 2:UNIT 3950
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09501-3950
Practice Address - Country:BH
Practice Address - Phone:9733-932-0652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician