Provider Demographics
NPI:1447755939
Name:SBEITI, MARIE NICHOLE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:NICHOLE
Last Name:SBEITI
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 1:6701 ABERDEEN AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1501
Mailing Address - Country:US
Mailing Address - Phone:806-687-9355
Mailing Address - Fax:
Practice Address - Street 1:6701 ABERDEEN AVE STE 11
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1501
Practice Address - Country:US
Practice Address - Phone:806-687-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13777OtherTBCE