Fox, Mary Sibert
Fox, Mary Sibert is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fox, Mary Sibert can be contacted via phone (605) 355-2423.Contact Information
Primary practice address
3200 Canyon Lake Dr
Rapid City SD 57702-8114
Phone: (605) 355-2423
Fax: (605) 355-2403
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3829 | South Dakota |
Profile Details
NPI number | 1306800784 |
---|---|
LBN Legal business name | Fox, Mary Sibert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2006 |
Last updated | Oct 28th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306800784 | NPPES |
South Dakota | MEDICAID | 5549050 |
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