Siebe, Mark Leon

Siebe, Mark Leon is an individual health care provider with primary practice located at Blanchfield Army Community Hospital 650 Joel Dr, Fort Campbell KY 42223-5318. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Siebe, Mark Leon can be contacted via phone (270) 798-8727.

Contact Information

Primary practice address
Blanchfield Army Community Hospital 650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3649 Tennessee

Profile Details

NPI number 1053801886
LBN Legal business name Siebe, Mark Leon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated Aug 28th, 2020 - about 6 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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