Robert E Sieve, DC
Individual provider Active NPI Chiropractor · Willard, MO
NPI 1790968063 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1790968063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 003562 (MO)
- Practice address
- 128 Grand Prairie Dr
Willard, MO 65781-9773 - Phone
- (417) 742-2617
- Fax
- (417) 742-6887
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003562 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Rock Prairie Wellness Clinic, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003562 | MO | Yes |
Addresses
Primary practice location
128 Grand Prairie Dr
Willard, MO 65781-9773
Mailing address
PO Box 305
Willard, MO 65781-0305
Phone (417) 742-2617
Other providers in Willard, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.