Sibley, David A

Sibley, David A is an individual health care provider with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sibley, David A can be contacted via phone (423) 431-6913.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Fax: (423) 928-8099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000019825 Tennessee

Profile Details

NPI number 1871568121
LBN Legal business name Sibley, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 18th, 2008 - about 16 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 1871568121 NPPES
Virginia MEDICAID 6650473
Virginia MEDICAID 3047660
Virginia MEDICAID 64927213

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