Siefert, W. L. Gregory

Siefert, W. L. Gregory is an individual health care provider with primary practice located at 5129 Dixie Hwy Ste 201 , Louisville KY 40216-1727. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Siefert, W. L. Gregory can be contacted via phone (502) 430-6223.

Contact Information

Primary practice address
5129 Dixie Hwy Ste 201 Louisville KY 40216-1727
Fax: (502) 792-7272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35-044005 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 46903 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35-044005 Ohio

Profile Details

NPI number 1437188521
LBN Legal business name Siefert, W. L. Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Oct 28th, 2019 - 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 1437188521 NPPES
Kentucky MEDICAID 64087653
Kentucky MEDICAID 2413338

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