Provider Demographics
NPI:1689407132
Name:SEEN MEDICAL GROUP OF IN, PC
Entity type:Organization
Organization Name:SEEN MEDICAL GROUP OF IN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTA
Authorized Official - Middle Name:
Authorized Official - Last Name:REIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:339-793-8998
Mailing Address - Street 1:15 OAK ST STE 3
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2470
Mailing Address - Country:US
Mailing Address - Phone:339-793-8998
Mailing Address - Fax:
Practice Address - Street 1:150 W MARKET ST STE 400
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2810
Practice Address - Country:US
Practice Address - Phone:339-793-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty