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Contact Information

ERIK D SIBBERNSEN, MD
3101 E STATE ST STE 2120
EAGLE, ID83616-6232
 Phone: 208-473-3275
 Fax: 208-473-3276
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Military Health Care Provider

171000000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ERIK D SIBBERNSEN · (Male)

NPI # 1750791471
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2014
Last updated 08/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17816
  • IN License # 01075639A
  • OR License # PG168052
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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