Basic Information
| Provider Information | |||||||||
| NPI: | 1801872353 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEIBERT | ||||||||
| FirstName: | ALLAN | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | IV | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7987 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366700987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516334853 | ||||||||
| Practice Location | |||||||||
| Address1: | 5955 AIRPORT BLVD | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516337367 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2005 | ||||||||
| LastUpdateDate: | 06/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 11004 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207R00000X | 11004 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 11004 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 9421455 | 01 | AL | CIGNA HC | OTHER | 134179 | 05 | AL | MEDICAID | 290014987 | 01 | AL | RR MEDICARE | OTHER | 512-06472 | 01 | AL | BCBS | OTHER | C74054 | 01 | AL | VIVA HEALTH | OTHER | 00126896 | 01 | AL | MS MEDICAID | OTHER | 213560 | 05 | AL | MEDICAID | 214642 | 05 | AL | MEDICAID | 512-07524 | 01 | AL | BCBS | OTHER | 051507524 | 01 | AL | MEDICARE | OTHER | 1338307 | 01 | AL | UHC | OTHER | 4630258 | 01 | AL | AETNA | OTHER | 512-06473 | 01 | AL | BCBS | OTHER |