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Contact Information

JAN K SIEBERSMA, MD
745 BUENA VISTA DR
LANDER, WY82520-3431
 Phone: 307-332-2941
 Fax: 307-332-1920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JAN K SIEBERSMA · (Male)

NPI # 1952303216
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 06/15/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 92-345
  • WY License # 8076A
  • NM Medicaid F6662
  • NM Other NM009818 BCBS
  • NM Other 5275478 LOVELACE
  • NM Other 25802 PRES
Hospital affiliation(s)
  • RIVERTON MEMORIAL HOSPITAL - (Acute Care)
    2100 W SUNSET DR
    RIVERTON, WY 82501
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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