Tibbels, Charles Kelley

Tibbels, Charles Kelley is an individual health care provider with primary practice located at 2301 S Fm 51 Ste 100 , Decatur TX 76234-3864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tibbels, Charles Kelley can be contacted via phone (940) 626-8810.

Contact Information

Primary practice address
2301 S Fm 51 Ste 100 Decatur TX 76234-3864
Phone: (940) 626-8810
Fax: (940) 626-8811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E6655 Texas

Profile Details

NPI number 1871569632
LBN Legal business name Tibbels, Charles Kelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 25th, 2023 - about 3 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 1871569632 NPPES
Texas MEDICAID 136230311
Texas Other 8EG149
Texas Other 080094585
Texas MEDICAID 136230301
Texas Other P00362520

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