Siegel, Jennifer A

Siegel, Jennifer A is an sole proprietor health care provider with primary practice located at 2250 North Illinois Ave , Carbondale IL 62901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Siegel, Jennifer A can be contacted via phone (618) 833-1691.

Contact Information

Primary practice address
2250 North Illinois Ave Carbondale IL 62901
Phone: (618) 833-1691
Fax: (618) 503-0688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A54919 California

Profile Details

NPI number 1114972536
LBN Legal business name Siegel, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Jun 22nd, 2023 - about 2 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 1114972536 NPPES
California MEDICAID 00A549190
California Other 00A549190

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