Siems, Jon L

Siems, Jon L is an sole proprietor health care provider with primary practice located at 3810 E Flamingo Rd , Las Vegas NV 89121-6227. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is his primary health care specialty. Siems, Jon L can be contacted via phone (702) 948-2010.

Contact Information

Primary practice address
3810 E Flamingo Rd Las Vegas NV 89121-6227
Fax: (702) 920-8787
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9250 Nevada
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9250 Nevada

Profile Details

NPI number 1528068640
LBN Legal business name Siems, Jon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated May 14th, 2024 - about 7 months 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 1528068640 NPPES
Nevada MEDICAID 2018998

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