Provider Demographics
NPI:1750545471
Name:ROY E SEIBEL JR MD PA
Entity type:Organization
Organization Name:ROY E SEIBEL JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEIBEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:207-563-3782
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:71 MAIN ST
Mailing Address - City:NEWCASTLE
Mailing Address - State:ME
Mailing Address - Zip Code:04553-0216
Mailing Address - Country:US
Mailing Address - Phone:207-563-3782
Mailing Address - Fax:207-563-6977
Practice Address - Street 1:71 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553
Practice Address - Country:US
Practice Address - Phone:207-563-3782
Practice Address - Fax:207-563-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME010514207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty