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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1699827808 | NPPES |
Florida | Other | Z9890 | BLUE CROSS BLUE SHIELD |
Florida | Other | 9074711 | BLUE CROSS BLUE SHIELD |
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