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Physician Compare National (NPI:1790968063)

HEALTHCARE PROVIDER: ROBERT E SIEVE DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1790968063
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173533833
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060426000551
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SIEVE
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DC
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1969
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 128 GRAND PRAIRIE DR
Group Practice or individual's line 1 address
City WILLARD
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 657819773
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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