Tibbels, Loretta R

Tibbels, Loretta R is an individual health care provider with primary practice located at 2510 Bellevue Medical Center Dr Ste 145A , Bellevue NE 68123-1556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tibbels, Loretta R can be contacted via phone (402) 779-7207.

Contact Information

Primary practice address
2510 Bellevue Medical Center Dr Ste 145A Bellevue NE 68123-1556
Fax: (402) 779-7210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19666 Nebraska

Profile Details

NPI number 1619927282
LBN Legal business name Tibbels, Loretta R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 22nd, 2015 - about 11 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 1619927282 NPPES
Nebraska Other 19666 NE LICENSE

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