Seibold, Brenda E

Seibold, Brenda E is an sole proprietor health care provider with primary practice located at 100 S Main St , Clinton IN 47842-2437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Seibold, Brenda E can be contacted via phone (765) 505-5200.

Contact Information

Primary practice address
100 S Main St Clinton IN 47842-2437
Fax: (930) 200-7389
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001944B Indiana

Profile Details

NPI number 1952499956
LBN Legal business name Seibold, Brenda E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated May 1st, 2024 - about 2 years 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 1952499956 NPPES
Indiana MEDICAID 200805370

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