Provider Demographics
NPI:1932386372
Name:RICKARD, SIBYL JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:SIBYL
Middle Name:JANE
Last Name:RICKARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SIBYL
Other - Middle Name:RICKARD
Other - Last Name:IRWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1498
Mailing Address - Country:US
Mailing Address - Phone:570-251-6655
Mailing Address - Fax:570-251-6588
Practice Address - Street 1:601 PARK ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1498
Practice Address - Country:US
Practice Address - Phone:570-251-6655
Practice Address - Fax:570-251-6588
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD436144207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology