Individual
MR. ALLEN L SIEGLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, BCD
Contact information
Practice address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7533
(701) 227-7575
Mailing address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7533
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1280
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005099
BC/BS PIN
ND
05
—
54523
—
ND
01
—
800006868
RR MEDICARE PIN
—
Enumeration date
06/23/2006
Last updated
10/30/2014
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