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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jack Siebenaler | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| Description | Provider ID: 0636539 | [sources] | |||
| First name | Jack | [sources] | |||
| Last name | Siebenaler | [sources] | |||
| NPI | 1982670212 | [sources] | |||
| Sector | 20 - Physician/Osteopath Individual | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States of America · ODM
For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Ohio Department of Medicaid | - | |||