Siebert, Karl J

Siebert, Karl J is an sole proprietor health care provider with primary practice located at 1000 E Paris Ave Se Suite 130, Grand Rapids MI 49546-3680. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Siebert, Karl J can be contacted via phone (616) 949-2001.

Contact Information

Primary practice address
1000 E Paris Ave Se Suite 130 Grand Rapids MI 49546-3680
Phone: (616) 949-2001
Fax: (616) 949-8620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301073621 Michigan
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 4301073621 Michigan

Profile Details

NPI number 1205809159
LBN Legal business name Siebert, Karl J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Apr 12th, 2017 - about 8 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 1205809159 NPPES
Michigan MEDICAID 104094391

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