Seibert, Keith Matthew

Seibert, Keith Matthew is an individual health care provider with primary practice located at 60 Exchange St Ste B7 , Richmond Hill GA 31324-7646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Seibert, Keith Matthew can be contacted via phone (912) 756-2273.

Contact Information

Primary practice address
60 Exchange St Ste B7 Richmond Hill GA 31324-7646
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 051733 Georgia

Profile Details

NPI number 1467451211
LBN Legal business name Seibert, Keith Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 19th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467451211 NPPES
Georgia Other 010183 BCBS
Georgia MEDICAID G51733 BCBS
Georgia Other 370021486 BCBS
Georgia MEDICAID 000966897A BCBS
Georgia MEDICAID 000966897B BCBS

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