Healthcare Provider Details

I. General information

NPI: 1801872353
Provider Name (Legal Business Name): ALLAN F SEIBERT IV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 AIRPORT BLVD
MOBILE AL
36608
US

IV. Provider business mailing address

PO BOX 7987
MOBILE AL
36670-0987
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-0573
  • Fax: 251-633-7367
Mailing address:
  • Phone: 251-633-0573
  • Fax: 251-633-4853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number11004
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number11004
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: