Nathan Siebenaller, | |
335 N Main St, Springboro, OH 45066-8006 | |
(937) 748-9708 | |
Not Available |
Full Name | Nathan Siebenaller |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 335 N Main St, Springboro, Ohio |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528424546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4594 (Ohio) | Primary |
Provider Name | Fully Alive Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235595075 PECOS PAC ID: 4284932104 Enrollment ID: O20160411000040 |
Mailing Address | Practice Location Address |
---|---|
Nathan Siebenaller, 335 N Main St, Springboro, OH 45066-8006 Ph: (937) 748-9708 | Nathan Siebenaller, 335 N Main St, Springboro, OH 45066-8006 Ph: (937) 748-9708 |
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