Provider Demographics
NPI:1689564122
Name:SINES, CALEB JEFFREY JR
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:JEFFREY
Last Name:SINES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3496 N HIGHWAY 83
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-9285
Mailing Address - Country:US
Mailing Address - Phone:308-520-9752
Mailing Address - Fax:308-520-9752
Practice Address - Street 1:3496 N HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-9285
Practice Address - Country:US
Practice Address - Phone:308-520-9752
Practice Address - Fax:308-520-9752
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider