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
Phone: (540) 772-5928
Fax: (540) 725-5053
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437158169 | NPPES |
| Other | 00W678L04 | MEDICARE - LGP |
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