Seibert, Jennifer V

Seibert, Jennifer V is an individual health care provider with primary practice located at 1057 Broad St #48, Sumter SC 29150-2567. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Seibert, Jennifer V can be contacted via phone (803) 775-8951.

Contact Information

Primary practice address
1057 Broad St #48 Sumter SC 29150-2567
Fax: (803) 775-8955
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2011020051 Missouri
Eye and Vision Services Providers / Pediatrics 152WP0200X 2011020051 Missouri
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2011020051 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1717 South Carolina

Profile Details

NPI number 1154618528
LBN Legal business name Seibert, Jennifer V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Dec 13th, 2012 - 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 1154618528 NPPES
Missouri MEDICAID 1154618528

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