Sieboldt, Lori E

Sieboldt, Lori E is an individual health care provider with primary practice located at 600 Mary St , Evansville IN 47747-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Sieboldt, Lori E can be contacted via phone (812) 450-3405.

Contact Information

Primary practice address
600 Mary St Evansville IN 47747-0001
Phone: (812) 450-3405
Fax: (812) 450-3099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01059205A Indiana

Profile Details

NPI number 1053409623
LBN Legal business name Sieboldt, Lori E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 16th, 2013 - about 11 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 1053409623 NPPES
Indiana Other 000000381085 BCBS - GATEWAY
Indiana Other 097292 BCBS - GATEWAY
Indiana Other 7197383 BCBS - GATEWAY
Indiana Other 000000333639 BCBS - GATEWAY
Indiana MEDICAID 200494470 BCBS - GATEWAY
Indiana Other 2244686 BCBS - GATEWAY
Indiana MEDICAID 64082910 BCBS - GATEWAY
Indiana Other 681577 BCBS - GATEWAY

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