Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | ||
N | 222Z00000X | Podiatrist | ||
Y | 224P00000X | Prosthetist |
NPI | 1245288208 |
---|---|
Provider Name | Steve A Siverd |
First Address | Norfolk, VA 23502 |
Second Address | Norfolk, VA 23502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1029129 | ACM (01) | VA |
194379 | ANTHEM BCBS (01) | VA |
39563 | SENTARA (01) | VA |
434534 | BC BS (01) | VA |
542040443 | TRICARE (01) | VA |
7703398 | (05) | VA |
9190414 | (05) | VA |