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NPI Code Detail

MEDICARE: DR. JAMES RANDALL SIGLER D.O.

MEDICARE:  DR. JAMES RANDALL SIGLER  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM Physician036-074029IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FE0450POTHERILSIHO
2216459700OTHERILUS DEPT OF LABOR
3149929OTHERILHEALTHLINK
49300043OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1245293794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES RANDALL SIGLER D.O.
Provider Business Mailing Address
First Line : PO BOX 547
Second Line :
City : MOUNT CARMEL
State : IL
Zip : 62863-0547
Country : US
Telephone Number : 618-262-5668
Fax Number : 618-262-4539
Provider Business Practice Location Address
First Line : 909 W 3RD ST
Second Line :
City : MOUNT CARMEL
State : IL
Zip : 62863-1718
Country : US
Telephone Number : 618-262-5668
Fax Number : 618-262-4539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/26/2010

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Directions to “ DR. JAMES RANDALL SIGLER D.O.” Practice Location

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