Healthcare Provider Details

I. General information

NPI: 1215146279
Provider Name (Legal Business Name): SIEBERT & ASSOCIATES OF IOWA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3554 DOLPHIN DR SE UNIT A
IOWA CITY IA
52240-8083
US

IV. Provider business mailing address

3554 DOLPHIN DR SE UNIT A
IOWA CITY IA
52240-8083
US

V. Phone/Fax

Practice location:
  • Phone: 319-351-3159
  • Fax: 319-337-2536
Mailing address:
  • Phone: 319-351-3159
  • Fax: 319-337-2536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. RODNEY P. SIEBERT
Title or Position: MANAGER
Credential:
Phone: 319-351-3159