Provider Demographics
NPI:1326239583
Name:SEIBEL, VALERIE S
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:S
Last Name:SEIBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:ME
Mailing Address - Zip Code:04553-0658
Mailing Address - Country:US
Mailing Address - Phone:207-563-3337
Mailing Address - Fax:207-563-6977
Practice Address - Street 1:71 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553-0658
Practice Address - Country:US
Practice Address - Phone:207-563-3337
Practice Address - Fax:207-563-6977
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician