NPI Code Details Logo

NPI 1316921661

NPI 1316921661 : RICHARD EDWARD SEIBERT DC : MERRICK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316921661
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RICHARD EDWARD SEIBERT DC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/30/2005
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1991 MERRICK AVE 
-----------------------------------------------------
    City                 |    MERRICK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11566-3145
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-867-8585
-----------------------------------------------------
    Fax                  |    516-867-1505
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1991 MERRICK AVE 
-----------------------------------------------------
    City                 |    MERRICK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11566-3145
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-867-8585
-----------------------------------------------------
    Fax                  |    516-867-1505
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    X005003
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    111NS0005X
-----------------------------------------------------
    Taxonomy Name        |    Sports Physician Chiropractor
-----------------------------------------------------
    License Number       |    X005003
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.