Sieracki, Michael

Sieracki, Michael is an individual health care provider with primary practice located at 250 Nash Medical Arts Mall Suite D, Rocky Mount NC 27804-1470. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Sieracki, Michael can be contacted via phone (252) 962-5300.

Contact Information

Primary practice address
250 Nash Medical Arts Mall Suite D Rocky Mount NC 27804-1470
Phone: (252) 962-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-01048 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0054831 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01048 North Carolina

Profile Details

NPI number 1114915790
LBN Legal business name Sieracki, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2005
Last updated Aug 10th, 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 1114915790 NPPES
New York Other 9511931 INDEPENDENT HEALTH
New York Other 00026498001 INDEPENDENT HEALTH
New York Other 000570104002 INDEPENDENT HEALTH

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