Bibb, Chaddrick Perez

Bibb, Chaddrick Perez is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232-6621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bibb, Chaddrick Perez can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232-6621
Phone: (601) 987-8200
Fax: (601) 987-8211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4040 Mississippi

Profile Details

NPI number 1881999456
LBN Legal business name Bibb, Chaddrick Perez
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2011
Last updated Sep 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881999456 NPPES
Mississippi MEDICAID 03203715

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