Siegal, Steven Eric

Siegal, Steven Eric is an sole proprietor health care provider with primary practice located at 1101 B Gale Wilson Blvd Suite 101C, Fairfield CA 94533-3700. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Siegal, Steven Eric can be contacted via phone (707) 646-4644.

Contact Information

Primary practice address
1101 B Gale Wilson Blvd Suite 101C Fairfield CA 94533-3700
Fax: (707) 646-4645
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME90725 Florida

Profile Details

NPI number 1871598573
LBN Legal business name Siegal, Steven Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Oct 16th, 2015 - about 9 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 1871598573 NPPES
Florida MEDICAID 270244400

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