Sibley, Lonnie M

Sibley, Lonnie M is an individual health care provider with primary practice located at 4155 Darley Ave , Boulder CO 80305-6536. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sibley, Lonnie M can be contacted via phone (303) 499-7072.

Contact Information

Primary practice address
4155 Darley Ave Boulder CO 80305-6536
Phone: (303) 499-7072
Fax: (303) 200-7375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 104233 Colorado
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2759 Louisiana

Profile Details

NPI number 1033287115
LBN Legal business name Sibley, Lonnie M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 15th, 2016 - about 8 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 1033287115 NPPES
Colorado MEDICAID 02042331

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