Robert Seiberlich, NMD, LMT
Individual provider Active NPI General Practice Physician · Ponderay, ID
NPI 1801468608 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1801468608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- NMD-0036 (ID)
- Practice address
- 550 Larkspur St Apt B203
Ponderay, ID 83852-5018 - Phone
- (360) 801-4888
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NMD-0036 | ID | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | |||
| General Practice Physician | 208D00000X | NMD-0036 | ID | Yes |
Addresses
Primary practice location
550 Larkspur St Apt B203
Ponderay, ID 83852-5018
Mailing address
550 Larkspur St Apt B203
Ponderay, ID 83852-5018
Other providers in Ponderay, ID
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- Geri Lynn Schaaf
- Michael David Schicker
- Nancy J Schmidt
- Traci D Schmidt
- Bruce Spradlin
- Vern Stairs
- Jonathan Craig Stevens
- Stuart Gall Crna Inc
- Sunrise Speech and Language, LLC
All providers in Ponderay, ID · General Practice Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. 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.