Provider Demographics
NPI:1841426723
Name:SIEBERT, JOANNE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:LYNN
Last Name:SIEBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:LYNN
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:44574 W COPPER TRL
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-9010
Mailing Address - Country:US
Mailing Address - Phone:520-350-1337
Mailing Address - Fax:
Practice Address - Street 1:44574 W COPPER TRL
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-9010
Practice Address - Country:US
Practice Address - Phone:520-350-1337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor