Sisbarro, Michael Anthony

Sisbarro, Michael Anthony is an individual health care provider with primary practice located at 3601 Hendricks Avenue , Jacksonville FL 32207. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Sisbarro, Michael Anthony can be contacted via phone (904) 396-2666.

Contact Information

Primary practice address
3601 Hendricks Avenue Jacksonville FL 32207
Phone: (904) 396-2666
Fax: (904) 396-2698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS313 Florida

Profile Details

NPI number 1699827808
LBN Legal business name Sisbarro, Michael Anthony
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1699827808 NPPES
Florida Other Z9890 BLUE CROSS BLUE SHIELD
Florida Other 9074711 BLUE CROSS BLUE SHIELD

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