Siegner, Scott W

Siegner, Scott W is an individual health care provider with primary practice located at 7808 W College Dr Suite 3 Sw, Palos Heights IL 60463-1027. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Siegner, Scott W can be contacted via phone (708) 671-1009.

Contact Information

Primary practice address
7808 W College Dr Suite 3 Sw Palos Heights IL 60463-1027
Fax: (708) 671-1109
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036102707 Illinois

Profile Details

NPI number 1386684066
LBN Legal business name Siegner, Scott W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 9th, 2021 - about 3 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 1386684066 NPPES
Illinois Other 2201714 BCBS
Illinois MEDICAID 36102707 BCBS

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