Healthcare Provider Details

I. General information

NPI: 1497239818
Provider Name (Legal Business Name): JD SIGLER PUBLISHING COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 WEST 18TH STREET
LAWRENCE KS
66047
US

IV. Provider business mailing address

P.O. BOX 3578
LAWRENCE KS
66046-0578
US

V. Phone/Fax

Practice location:
  • Phone: 785-749-5259
  • Fax: 785-749-5260
Mailing address:
  • Phone: 785-749-5259
  • Fax: 785-749-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY D. SIGLER
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 785-749-5259