Siefken, Philip Edward
Siefken, Philip Edward is an individual health care provider with primary practice located at 101 Health Care Dr , Greenville IL 62246-1159. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Siefken, Philip Edward can be contacted via phone (618) 664-2531.Contact Information
Primary practice address
101 Health Care Dr
Greenville IL 62246-1159
Phone: (618) 664-2531
Fax: (618) 664-2553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036088335 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036088335 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088335 | Illinois |
Profile Details
NPI number | 1689629107 |
---|---|
LBN Legal business name | Siefken, Philip Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Feb 26th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689629107 | NPPES |
Illinois | Other | 193400000X | TAXONOMYNCODE |
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