SearchOhio207Q00000X

Jack Siebenaler, M.D

NPI 1982670212 · on the registry since 2006 · sole proprietor

Practice

Address
3232 Navarre Ave
Oregon, OH 43616
Phone
(419) 691-0636
Fax
(419) 693-1412
Organisation at this address
Hallett Enterprises, Llc
Jack Siebenaler Ii Md, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio