Individual
DR. NELSON KEITH SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
123 E 2ND ST, PORT CLINTON, OH 43452-1114
(419) 732-3189
(419) 734-1963
Mailing address
123 E 2ND ST, PORT CLINTON, OH 43452-1114
(419) 732-3189
(419) 734-1963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130874
ANTHEM BCBS
OH
05
—
0454539
—
OH
01
—
04936
PARAMOUNT PROVIDER #
OH
01
—
2509843
AETNA PROVIDER #
OH
Enumeration date
08/09/2006
Last updated
07/09/2007
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