Organization
SEYMOUR ORTHOPEDICS AND REHABILITATION LLC
Active
Other names
Seymour Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A. OLLO M.D. (CO-OWNER)
(812) 524-3311
Entity
Organization
Contact information
Practice address
225 S PINE ST, SUITE 300, SEYMOUR, IN 47274-2365
(812) 524-3311
(812) 524-3310
Mailing address
225 S PINE ST, SUITE 300, SEYMOUR, IN 47274-2365
(812) 524-3311
(812) 524-3310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01039941
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200032328
MEDICARE RAILROAD
IN
05
—
200192940
—
IN
Enumeration date
10/10/2006
Last updated
03/16/2010
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