Individual
DR. MATHEW W SIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3250 W. LAKE RD, SUITE 2, ERIE, PA 16505-3691
(814) 790-4567
(814) 295-4074
Mailing address
3250 W. LAKE RD, SUITE 2, ERIE, PA 16505-3691
(814) 790-4567
(814) 295-4074
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OS013457
PA
2084P0800X
Psychiatry Physician
Primary
OS13457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025630550005
—
PA
Enumeration date
11/15/2006
Last updated
02/11/2020
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