Mckibbin, Chillon A

Mckibbin, Chillon A is an individual health care provider with primary practice located at 610 30Th Avenue West Alexandria Clinic, Alexandria MN 56308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mckibbin, Chillon A can be contacted via phone (320) 763-5123.

Contact Information

Primary practice address
610 30Th Avenue West Alexandria Clinic Alexandria MN 56308
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R 156704 7 Minnesota

Profile Details

NPI number 1255521548
LBN Legal business name Mckibbin, Chillon A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 9th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255521548 NPPES
Minnesota Other P00473736 RR MEDICARE
Minnesota Other 1255521548 RR MEDICARE
Minnesota Other 1153329 RR MEDICARE
Minnesota MEDICAID 638128000 RR MEDICARE
Minnesota Other R 156704 7 RR MEDICARE

Popular Providers