Provider Demographics
NPI:1760118046
Name:SIBYL DOWNING MD LLC
Entity Type:Organization
Organization Name:SIBYL DOWNING MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SIBYL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-608-2580
Mailing Address - Street 1:3839 FREDERICK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3020
Mailing Address - Country:US
Mailing Address - Phone:816-396-8855
Mailing Address - Fax:816-396-6123
Practice Address - Street 1:900 S RIVERSIDE RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2541
Practice Address - Country:US
Practice Address - Phone:816-608-2580
Practice Address - Fax:816-297-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO001OtherEMPLOYEE HEALTH CLINIC