Provider Demographics
NPI:1124160684
Name:SIEGENTHALER, JAMES RILEY (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RILEY
Last Name:SIEGENTHALER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 625
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17508-0625
Mailing Address - Country:US
Mailing Address - Phone:717-682-6198
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 625
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17508-0625
Practice Address - Country:US
Practice Address - Phone:717-682-6198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC6911-L111N00000X
PADC006911L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASI663879Medicare ID - Type Unspecified