Organization
BAY CITY PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW W SIPPLE D.O. (MEDICAL DIRECTOR)
(814) 454-1085
Entity
Organization
Contact information
Practice address
3250 W. LAKE RD, SUITE 1, ERIE, PA 16505-3691
(814) 454-1085
(814) 240-3976
Mailing address
3250 W. LAKE RD, SUITE 1, ERIE, PA 16505-3691
(814) 454-1085
(814) 240-3976
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS13457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035742960001
—
PA
Enumeration date
07/25/2014
Last updated
02/10/2020
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