Provider Demographics
NPI:1255386108
Name:SIGHTLER, HAROLD EDWARD (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:EDWARD
Last Name:SIGHTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4928
Mailing Address - Country:US
Mailing Address - Phone:256-629-1825
Mailing Address - Fax:256-629-2717
Practice Address - Street 1:1701 VETERANS DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4928
Practice Address - Country:US
Practice Address - Phone:256-629-1825
Practice Address - Fax:256-629-2717
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS23614207ZP0102X
FLME153762207ZP0102X
LAMD.201820207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1116025Medicaid
MS07650077Medicaid
LA4N289Medicare PIN
LA4N2896629Medicare PIN
LA4N2897061Medicare PIN
MS07650077Medicaid