Individual
JONAS SEEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3435 BOX HILL CORPORATE CENTER DR, ABINGDON, MD 21009-1204
(410) 569-0606
Mailing address
3435 BOX HILL CORPORATE CENTER DR, ABINGDON, MD 21009-1204
(410) 569-0606
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000206
PA
224P00000X
Prosthetist
Primary
PO000144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011103100
—
MD
Enumeration date
04/13/2017
Last updated
04/13/2017
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