Siebert, Karl J
Siebert, Karl J is an sole proprietor health care provider with primary practice located at 1000 E Paris Ave Se Suite 130, Grand Rapids MI 49546-3680. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Siebert, Karl J can be contacted via phone (616) 949-2001.Contact Information
Primary practice address
1000 E Paris Ave Se Suite 130
Grand Rapids MI 49546-3680
Phone: (616) 949-2001
Fax: (616) 949-8620
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 4301073621 | Michigan |
Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 4301073621 | Michigan |
Profile Details
NPI number | 1205809159 |
---|---|
LBN Legal business name | Siebert, Karl J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2006 |
Last updated | Apr 12th, 2017 - about 7 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 | 1205809159 | NPPES |
Michigan | MEDICAID | 104094391 |
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