Basic Information
| Provider Information | |||||||||
| NPI: | 1750545471 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROY E SEIBEL JR MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 216 | ||||||||
| Address2: | 71 MAIN ST | ||||||||
| City: | NEWCASTLE | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045530216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075633782 | ||||||||
| FaxNumber: | 2075636977 | ||||||||
| Practice Location | |||||||||
| Address1: | 71 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NEWCASTLE | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075633782 | ||||||||
| FaxNumber: | 2075636977 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2008 | ||||||||
| LastUpdateDate: | 07/11/2008 | ||||||||
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| AuthorizedOfficialLastName: | SEIBEL | ||||||||
| AuthorizedOfficialFirstName: | ROY | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2075633782 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 010514 | ME | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.