JACK SIEBENALER II MD INC NPI 1255514873

NPI Information

  • NPI: 1255514873
  • Provider Name: JACK SIEBENALER II MD, INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 3232 NAVARRE AVE
    OREGON, OH
    ZIP 43616
  • Phone: (419) 691-0636

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NPI Details

JACK SIEBENALER II MD, INC is a primary care clinic center in Oregon, OH. JACK SIEBENALER II MD, INC NPI is 1255514873. The provider is registered as an organization entity type.

The provider's business location address is:

3232 NAVARRE AVE
OREGON, OH
ZIP 43616-312
Phone: (419) 691-0636
Fax: (419) 693-1412

The provider's authorized official is Jack G Siebenaler .
The authorized official title is Owner and has the following contact phone number (419) 691-0636.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care350535801SOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D32448MEDICARE UPINOHIO
2JA9229351MEDICARE PIN
30056057MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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