Healthcare Provider Details

I. General information

NPI: 1811910763
Provider Name (Legal Business Name): DAVID SIBLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 RIVER RD
DOVER DE
19901-3753
US

IV. Provider business mailing address

10 SW FRONT ST
MILFORD DE
19963-1948
US

V. Phone/Fax

Practice location:
  • Phone: 302-739-4275
  • Fax:
Mailing address:
  • Phone: 302-422-1422
  • Fax: 302-422-1375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC1-0004514
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: