Provider Demographics
NPI:1699857045
Name:SIEVERS AND COMPANY, LLC
Entity Type:Organization
Organization Name:SIEVERS AND COMPANY, LLC
Other - Org Name:TERESA A. SIEVER, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIEVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-948-7291
Mailing Address - Street 1:10201 ARCOS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928
Mailing Address - Country:US
Mailing Address - Phone:239-948-7291
Mailing Address - Fax:239-948-0179
Practice Address - Street 1:10201 ARCOS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:239-948-7291
Practice Address - Fax:239-948-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH23485Medicare UPIN