Siewert, Jeanine L.

Siewert, Jeanine L. is an sole proprietor health care provider with primary practice located at 2740 E. Pythian Regional Girls' Shelter, Springfield MO 65802. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Siewert, Jeanine L. can be contacted via phone (417) 862-9634.

Contact Information

Primary practice address
2740 E. Pythian Regional Girls' Shelter Springfield MO 65802
Phone: (417) 862-9634
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1999135416 Missouri

Profile Details

NPI number 1477783629
LBN Legal business name Siewert, Jeanine L.
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2009
Last updated Jul 22nd, 2009 - about 17 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 1477783629 NPPES
Missouri MEDICAID 495363210

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