Siegel, Marc S

Siegel, Marc S is an individual health care provider with primary practice located at 120 Professional Park Dr Ste 7, Blacksburg VA 24060. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Siegel, Marc S can be contacted via phone (540) 552-3601.

Contact Information

Primary practice address
120 Professional Park Dr Ste 7 Blacksburg VA 24060
Phone: (540) 552-3601
Fax: (540) 552-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036792 Virginia
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 0101036792 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101036792 Virginia

Profile Details

NPI number 1356316178
LBN Legal business name Siegel, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 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 1356316178 NPPES
Virginia MEDICAID 1356316178

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