Provider Demographics
NPI:1871054239
Name:SEITSINGER, ROBERT W
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:SEITSINGER
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 1:606 E REDBUD DR APT B107
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-5720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:820270 S 3460 RD
Practice Address - Street 2:
Practice Address - City:AGRA
Practice Address - State:OK
Practice Address - Zip Code:74824-2001
Practice Address - Country:US
Practice Address - Phone:405-240-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator