Tsibulsky, Mark
Tsibulsky, Mark is an individual health care provider with primary practice located at 120 Labree Ave S , Thief River Falls MN 56701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tsibulsky, Mark can be contacted via phone (218) 683-4351.Contact Information
Primary practice address
120 Labree Ave S
Thief River Falls MN 56701
Phone: (218) 683-4351
Fax: (218) 683-4362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 42279 | Minnesota |
Profile Details
| NPI number | 1518915511 |
|---|---|
| LBN Legal business name | Tsibulsky, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 17th, 2014 - about 11 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 | 1518915511 | NPPES |
| Minnesota | MEDICAID | 482402400 |
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