Active NPIIndividual providerSole proprietor

Dr. Jeremy S Sibold, ATC

Specialist/Technologist, Athletic Trainer in Essex Junction, Vermont

NPI Number1598316507
Practice location
10 Tyler Dr, Essex Junction, VT 05452-4639
Fax
—
Last updated
September 23, 2019

Jeremy Stewart Sibold is a Specialist/Technologist, Athletic Trainer based in Essex Junction, VT. Jeremy Stewart Sibold practices in Essex Junction, VT and has the professional credentials of ATC. The NPI Number for Jeremy Stewart Sibold is 1598316507 and holds a License No. 104.0000167 (VT). The current practice location address for Jeremy Stewart Sibold is 10 Tyler Dr, Essex Junction, VT 05452-4639 and can be reached out via phone at 802-316-6379.

Provider Profile Details

NPI Number
1598316507
Provider Name
Jeremy Stewart Sibold
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
10 Tyler Dr, Essex Junction, VT 05452-4639
Phone Number
802-316-6379
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2019
Last Update Date
September 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Tyler Dr
Essex Junction, VT 05452-4639
State
Vermont
Zip
05452-4639
Phone Number
802-316-6379
Essex Junction, VT 05452Get directions →

Provider Business Mailing Address Details

Address
10 Tyler Dr
Essex Junction, VT 05452-4639
City
Essex Junction
State
VT
Zip
05452-4639
Phone Number
802-316-6379

License Information

License Number
104.0000167
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeremy S Sibold, ATC?

The NPI number of Dr. Jeremy S Sibold, ATC is 1598316507. It was assigned on September 23, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeremy S Sibold, ATC?

Dr. Jeremy S Sibold, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104.0000167.

Where does Dr. Jeremy S Sibold, ATC practice?

The practice location is 10 Tyler Dr, Essex Junction, VT 05452-4639. The office can be reached at 802-316-6379 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598316507 directly on the NPPES registry website.

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