Provider Demographics
NPI:1497461503
Name:SEIB, SANDRA S (RDN/LD)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:S
Last Name:SEIB
Suffix:
Gender:F
Credentials:RDN/LD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:SEIB
Other - Last Name:HEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:31825 BAYVIEW DR APT 75
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2453
Mailing Address - Country:US
Mailing Address - Phone:440-227-2037
Mailing Address - Fax:
Practice Address - Street 1:HILLCREST HOSPITAL-CLEVELAND CLINIC
Practice Address - Street 2:6803 MAYFIELD RD
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:440-227-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2870133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered