Siebold, Earlene Catherine

Siebold, Earlene Catherine is an individual health care provider with primary practice located at 880 Westfall Rd Suite A, Rochester NY 14618-2611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Siebold, Earlene Catherine can be contacted via phone (585) 244-5630.

Contact Information

Primary practice address
880 Westfall Rd Suite A Rochester NY 14618-2611
Fax: (585) 434-4915
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1562872 New York

Profile Details

NPI number 1134101157
LBN Legal business name Siebold, Earlene Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 28th, 2024 - about 2 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 1134101157 NPPES
New York MEDICAID 01093163

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