MEDICARE: JAMES EDWARD SIGLOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35058365S	OH
2	207Q00000X	Family Medicine Physician	35058365S	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00288744	OTHER	OH	MEDICARE RR-GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	942460636208	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1346282365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES EDWARD SIGLOW MD

Provider Business Mailing Address
First Line	:	107 ROYAL BIRKDALE DR
Second Line	:	SUITE A
City	:	COLUMBIANA
State	:	OH
Zip	:	44408-8493
Country	:	US
Telephone Number	:	330-482-9350
Fax Number	:	330-482-5695

Provider Business Practice Location Address
First Line	:	107 ROYAL BIRKDALE DR
Second Line	:	SUITE A
City	:	COLUMBIANA
State	:	OH
Zip	:	44408-8493
Country	:	US
Telephone Number	:	330-482-9350
Fax Number	:	330-482-5695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/13/2012

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Directions to “ JAMES EDWARD SIGLOW MD” Practice Location

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