Siebert, Kenneth Edward

Siebert, Kenneth Edward is an individual health care provider with primary practice located at 4831 Shields St , San Diego CA 92124-2930. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Siebert, Kenneth Edward can be contacted via phone (619) 332-9330.

Contact Information

Primary practice address
4831 Shields St San Diego CA 92124-2930
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1275152654
LBN Legal business name Siebert, Kenneth Edward
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2020
Last updated Apr 15th, 2020 - about 4 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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