Siegel, Marc J
Siegel, Marc J is an individual health care provider with primary practice located at 29201 Telegraph Rd Suite 301, Southfield MI 48034-1331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Siegel, Marc J can be contacted via phone (248) 356-0098.Contact Information
Primary practice address
29201 Telegraph Rd Suite 301
Southfield MI 48034-1331
Phone: (248) 356-0098
Fax: (248) 356-0424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 4301053873 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301053873 | Michigan |
Profile Details
| NPI number | 1740265461 |
|---|---|
| LBN Legal business name | Siegel, Marc J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Feb 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740265461 | NPPES |
| Michigan | MEDICAID | 2716035 |
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