Siefken, Philip Edward

Siefken, Philip Edward is an individual health care provider with primary practice located at 101 Health Care Dr , Greenville IL 62246-1159. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Siefken, Philip Edward can be contacted via phone (618) 664-2531.

Contact Information

Primary practice address
101 Health Care Dr Greenville IL 62246-1159
Phone: (618) 664-2531
Fax: (618) 664-2553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036088335 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036088335 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036088335 Illinois

Profile Details

NPI number 1689629107
LBN Legal business name Siefken, Philip Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 26th, 2013 - about 13 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 1689629107 NPPES
Illinois Other 193400000X TAXONOMYNCODE

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