Seagraves, Mary Annette
Seagraves, Mary Annette is an individual health care provider with primary practice located at 4110 Briargate Pkwy Ste 140 , Colorado Springs CO 80920-7836. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Seagraves, Mary Annette can be contacted via phone (719) 364-8346.Contact Information
Primary practice address
4110 Briargate Pkwy Ste 140
Colorado Springs CO 80920-7836
Phone: (719) 364-8346
Fax: (719) 364-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | DR.0028267 | Colorado |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR.0028267 | Colorado |
Profile Details
| NPI number | 1770560617 |
|---|---|
| LBN Legal business name | Seagraves, Mary Annette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 25th, 2023 - about 3 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 | 1770560617 | NPPES |
| Colorado | MEDICAID | 01282672 |
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