Provider Demographics
NPI:1588620272
Name:SEIBERT, WILLIAM DANIEL (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DANIEL
Last Name:SEIBERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 LUMBER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17340-1668
Mailing Address - Country:US
Mailing Address - Phone:717-359-1331
Mailing Address - Fax:717-359-1337
Practice Address - Street 1:340 LUMBER ST
Practice Address - Street 2:
Practice Address - City:LITTLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:17340-1668
Practice Address - Country:US
Practice Address - Phone:717-359-1331
Practice Address - Fax:717-359-1337
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004409L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA157284Medicaid
PA157284Medicare ID - Type Unspecified
D98734Medicare UPIN