Provider Demographics
NPI:1922305499
Name:SEIBERT, DANIEL ALAN
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALAN
Last Name:SEIBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:A
Other - Last Name:SEIBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:197 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1120
Mailing Address - Country:US
Mailing Address - Phone:916-802-4642
Mailing Address - Fax:530-898-9045
Practice Address - Street 1:197 EAST AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1120
Practice Address - Country:US
Practice Address - Phone:916-802-4642
Practice Address - Fax:530-898-9045
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath