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Dr. Erik David Sibbernsen, MD
Student in an Organized Health Care Education/Training Program in Eagle, Idaho
NPI 1750791471

Erik David Sibbernsen is a Student in an Organized Health Care Education/Training Program based in Boise, ID. Erik David Sibbernsen practices in Eagle, ID and has the professional credentials of MD. The NPI Number for Erik David Sibbernsen is 1750791471 and holds a License No. M-17816 (Idaho).

The current practice location address for Erik David Sibbernsen is 3101 E State St Ste 2120, Eagle, ID and can be reached out via phone at 208-473-3275 and via fax at 208-473-3276.

Location: 3101 E State St Ste 2120, Eagle, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750791471
Provider Name
Erik David Sibbernsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3101 E State St Ste 2120, Eagle, ID, 83712-6241
Phone Number
208-473-3275
Fax Number
208-473-3276
Provider Enumeration Date
05/02/2014
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
3101 E State St Ste 2120
City
Eagle
State
Idaho
Zip
83616-6232
Phone Number
208-473-3275
Fax Number
208-473-3276
person
Provider Business Mailing Address Details
Address
3101 E State St Ste 2120
City
Eagle
State
Idaho
Zip
83616-6232
Phone Number
208-473-3275
Fax Number
208-473-3276
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
PG168052 (Oregon)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
01075639A (Indiana)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-17816 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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