Mckibbin, Douglas William
Mckibbin, Douglas William is an individual health care provider with primary practice located at 70 Medical Center Cir Suite 308, Fishersville VA 22939-2273. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mckibbin, Douglas William can be contacted via phone (540) 932-5909.Contact Information
Primary practice address
70 Medical Center Cir Suite 308
Fishersville VA 22939-2273
Phone: (540) 932-5909
Fax: (540) 932-5910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101035838 | Virginia |
Profile Details
| NPI number | 1447362090 |
|---|---|
| LBN Legal business name | Mckibbin, Douglas William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447362090 | NPPES |
| Virginia | MEDICAID | 7305117 |
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