Provider Demographics
NPI:1568764389
Name:JEANNE DAY SEIBERT MD PC
Entity Type:Organization
Organization Name:JEANNE DAY SEIBERT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:DAY
Authorized Official - Last Name:SEIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-4662
Mailing Address - Street 1:601 E HAMPDEN AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2764
Mailing Address - Country:US
Mailing Address - Phone:303-788-4662
Mailing Address - Fax:303-788-7437
Practice Address - Street 1:601 E HAMPDEN AVE STE 160
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2764
Practice Address - Country:US
Practice Address - Phone:303-788-4662
Practice Address - Fax:303-788-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01323724Medicaid
CO01323724Medicaid