Siebert, Michael Joseph
Siebert, Michael Joseph is an individual health care provider with primary practice located at 205 W Blackstock Rd Ste 150 , Spartanburg SC 29301-3205. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siebert, Michael Joseph can be contacted via phone (864) 574-8454.Contact Information
Primary practice address
205 W Blackstock Rd Ste 150
Spartanburg SC 29301-3205
Phone: (864) 574-8454
Fax: (864) 576-4748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1547 | South Carolina |
Profile Details
| NPI number | 1932141850 |
|---|---|
| LBN Legal business name | Siebert, Michael Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 20th, 2021 - about 3 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 | 1932141850 | NPPES |
| South Carolina | MEDICAID | D15473 |
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