Seibert, Sean William

Seibert, Sean William is an individual health care provider with primary practice located at 515 Pine Street , Jamestown NY 14701-5315. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Seibert, Sean William can be contacted via phone (716) 664-7501.

Contact Information

Primary practice address
515 Pine Street Jamestown NY 14701-5315
Phone: (716) 664-7501
Fax: (716) 664-5186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0105132 New York

Profile Details

NPI number 1003970054
LBN Legal business name Seibert, Sean William
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1003970054 NPPES
Other 6893537002 VALUE OPTIONS
MEDICAID 01243856 VALUE OPTIONS
Other 00020913301 VALUE OPTIONS
Other 324244 VALUE OPTIONS
Other 000511085001 VALUE OPTIONS
Other 11305 VALUE OPTIONS
Other 6107105 VALUE OPTIONS
Other 725284 VALUE OPTIONS

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