Bibro, Mary

Bibro, Mary is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153-7357. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology. Other Service Providers / Specialist is her primary health care specialty. Bibro, Mary can be contacted via phone (540) 772-5928.

Contact Information

Primary practice address
1802 Braeburn Dr Salem VA 24153-7357
Fax: (540) 725-5053
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101039251 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 0101039251 Virginia

Profile Details

NPI number 1437158169
LBN Legal business name Bibro, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 16th, 2007 - about 16 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 1437158169 NPPES
Other 00W678L04 MEDICARE - LGP

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