Earlene C. Siebold M.D.P.C,

LBN: Earlene C. Siebold M.D.P.C,
Earlene C. Siebold M.D.P.C, is an health care organization with primary practice located at 880 Westfall Rd Suite A, Rochester NY 14618-2611. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Earlene C. Siebold M.D.P.C, can be contacted via phone (585) 244-5630, or through Siebold, Earlene C via phone (585) 244-5630.

Contact Information

Primary practice address
880 Westfall Rd Suite A Rochester NY 14618-2611
Fax: (585) 487-8250
Website:
Authorized official contact:
Name: Siebold, Earlene C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 156287 New York

Profile Details

NPI number 1215312160
LBN Legal business name Earlene C. Siebold M.D.P.C,
DBA Doing business as
Authorized official Siebold, Earlene C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2015
Last updated Jun 28th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215312160 NPPES
New York Other 1045398 CAQH
New York MEDICAID 01093163 CAQH
New York Other BB8505 CAQH

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