Siegan, Mitchell J

Siegan, Mitchell J is an individual health care provider with primary practice located at 2095 Henry Tecklenburg Dr , Charleston SC 29414-5733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Siegan, Mitchell J can be contacted via phone (843) 402-1000.

Contact Information

Primary practice address
2095 Henry Tecklenburg Dr Charleston SC 29414-5733
Phone: (843) 402-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 21770 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21770 South Carolina

Profile Details

NPI number 1265486336
LBN Legal business name Siegan, Mitchell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2006
Last updated May 7th, 2024 - about last year

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 1265486336 NPPES
South Carolina MEDICAID T59503

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