Individual
CHARLES M SIEGLER
Active
Individual
CHARLES M SIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19079
WV
2085R0202X
Diagnostic Radiology Physician
33661
KY
2085R0202X
Diagnostic Radiology Physician
35080661S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196544
UNISON
OH
01
—
001718780
MTN STATE BCBS
—
05
—
0122281000
—
WV
01
—
1125654
PASSPORT
KY
05
—
2032357
—
OH
01
—
55049337600
WORKMANS COMP
WV
01
—
5577303
AETNA
—
05
—
6494178400
—
KY
01
—
990005426
RR MEDICARE (WV)
WV
Enumeration date
12/23/2005
Last updated
01/08/2010
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