Siegers, Justine Marie

Siegers, Justine Marie is an individual health care provider with primary practice located at 121 Lucy Ln , Columbia SC 29229-7835. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Siegers, Justine Marie can be contacted via phone (803) 217-2550.

Contact Information

Primary practice address
121 Lucy Ln Columbia SC 29229-7835
Fax: (803) 217-2548
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X SC1603 South Carolina

Profile Details

NPI number 1740592237
LBN Legal business name Siegers, Justine Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jul 13th, 2010 - about 14 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 1740592237 NPPES
South Carolina Other SC1603 OPTOMETRIST LICENSE

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