Sibrack, Gerald Bruce

Sibrack, Gerald Bruce is an individual health care provider with primary practice located at 1100 Navaho Drive Suite 105, Raleigh NC 27609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Sibrack, Gerald Bruce can be contacted via phone (919) 872-3851.

Contact Information

Primary practice address
1100 Navaho Drive Suite 105 Raleigh NC 27609
Phone: (919) 872-3851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 24032 North Carolina

Profile Details

NPI number 1528103819
LBN Legal business name Sibrack, Gerald Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
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 1528103819 NPPES
North Carolina Other 76121 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8976121 BLUE CROSS BLUE SHIELD

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