Sibble, Jason D

Sibble, Jason D is an individual health care provider with primary practice located at 12 Martin St , Wellsville NY 14895-1057. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sibble, Jason D can be contacted via phone (585) 593-6041.

Contact Information

Primary practice address
12 Martin St Wellsville NY 14895-1057
Fax: (585) 593-4919
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT006401 New York

Profile Details

NPI number 1841235975
LBN Legal business name Sibble, Jason D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 14th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841235975 NPPES
New York Other 115176CS PREF CARE, PREF GOLD

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