MEDICARE: DR. JOE P SIGG

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	1223G0001X	General Practice Dentistry	12006648	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12006648	OTHER	IN	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902852221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOE P SIGG

Provider Business Mailing Address
First Line	:	1201 N POST RD
Second Line	:	SUITE 6
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4246
Country	:	US
Telephone Number	:	317-897-8970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N POST RD
Second Line	:	SUITE 6
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4246
Country	:	US
Telephone Number	:	317-897-8970
Fax Number	:

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	06/13/2014

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Directions to “ DR. JOE P SIGG ” Practice Location

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