Kettel, Seth Tyler
Kettel, Seth Tyler is an sole proprietor health care provider with primary practice located at 9000 N Main St Suite 300, Englewood OH 45415-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kettel, Seth Tyler can be contacted via phone (937) 832-1500.Contact Information
Primary practice address
9000 N Main St Suite 300
Englewood OH 45415-1180
Phone: (937) 832-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.122436 | Ohio |
Profile Details
| NPI number | 1407149800 |
|---|---|
| LBN Legal business name | Kettel, Seth Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2011 |
| Last updated | Oct 13th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407149800 | NPPES |
| Ohio | MEDICAID | 0099393 |
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