Siebert, David Mason

Siebert, David Mason is an individual health care provider with primary practice located at 3800 Montlake Blvd Ne , Seattle WA 98195-8021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Siebert, David Mason can be contacted via phone (206) 598-3294.

Contact Information

Primary practice address
3800 Montlake Blvd Ne Seattle WA 98195-8021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD60584255 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60584255 Washington

Profile Details

NPI number 1174866354
LBN Legal business name Siebert, David Mason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2013
Last updated Aug 7th, 2020 - about 5 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 1174866354 NPPES
Washington MEDICAID 1174866354

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