Siebenaler, Jack
Siebenaler, Jack is an sole proprietor health care provider with primary practice located at 3232 Navarre Ave , Oregon OH 43616-3312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Siebenaler, Jack can be contacted via phone (419) 691-0636.Contact Information
Primary practice address
3232 Navarre Ave
Oregon OH 43616-3312
Phone: (419) 691-0636
Fax: (419) 693-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35053850 | Ohio |
Profile Details
| NPI number | 1982670212 |
|---|---|
| LBN Legal business name | Siebenaler, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Feb 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982670212 | NPPES |
| Ohio | MEDICAID | 0636539 |
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