Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60147145 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60147145 | WA |
NPI | 1508082033 |
---|---|
Provider Name | Dr. Nicholas Robert Seibert |
First Address | Seattle, WA 98104-1172 |
Second Address | Seattle, WA 98122-5330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 10/10/2011 |