Individual
MRS. CHERYL CHASTEEN-SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(937) 415-9100
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-3130
(937) 415-9100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105936
—
OH
Enumeration date
02/19/2007
Last updated
07/29/2014
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