Slifer, Kirby Douglas
Slifer, Kirby Douglas is an individual health care provider with primary practice located at 301 W Homer St , Michigan City IN 46360-4358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Slifer, Kirby Douglas can be contacted via phone (219) 879-8511.Contact Information
Primary practice address
301 W Homer St
Michigan City IN 46360-4358
Phone: (219) 879-8511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 02001065A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4556 | Oklahoma |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 02001065A | Indiana |
Profile Details
| NPI number | 1073507422 |
|---|---|
| LBN Legal business name | Slifer, Kirby Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Apr 4th, 2024 - about 2 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 | 1073507422 | NPPES |
| Oklahoma | MEDICAID | 200116690A | |
| Oklahoma | Other | P00664346 | |
| Oklahoma | MEDICAID | 1073507422 |
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