Individual
MARK E SEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 N MAIN ST, LAPEL, IN 46051-9671
(765) 534-3127
(765) 534-3022
Mailing address
1675 N MAIN ST, LAPEL, IN 46051-9671
(765) 534-3127
(765) 534-3022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312907
ANTHEM
IN
05
—
200225440
—
IN
01
—
P00167936
RR MEDICARE
IN
01
—
P01014116
RR MEDICARE PTAN
IN
Enumeration date
07/26/2006
Last updated
04/27/2012
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