Provider Demographics
NPI:1114599487
Name:SIBLEY, DILLON JOE (DC)
Entity type:Individual
Prefix:
First Name:DILLON
Middle Name:JOE
Last Name:SIBLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 W SHELBY RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:MI
Mailing Address - Zip Code:49455-8913
Mailing Address - Country:US
Mailing Address - Phone:231-259-0121
Mailing Address - Fax:231-259-0076
Practice Address - Street 1:4140 W SHELBY RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MI
Practice Address - Zip Code:49455-8913
Practice Address - Country:US
Practice Address - Phone:231-259-0121
Practice Address - Fax:231-259-0076
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301011119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor