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Contact Information

JASON M SEIBLY, DO
1015 S MERCER AVE
BLOOMINGTON, IL61701-7107
 Phone: 309-662-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON M SEIBLY · (Male)

NPI Number 1972789238
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/17/2008
Last updated 08/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036119851
  • IL Medicaid 036119851
Hospital affiliation(s)
  • BROMENN HEALTHCARE - (Acute Care)
    1304 FRANKLIN AVENUE
    NORMAL, IL 61761
  • SAINT JAMES HOSPITAL - (Acute Care)
    2500 WEST REYNOLDS STREET
    PONTIAC, IL 61764
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    2200 E WASHINGTON
    BLOOMINGTON, IL 61701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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