Tibbils, Richard Perry
Tibbils, Richard Perry is an individual health care provider with primary practice located at 1872 Tamiami Trl S Ste B , Venice FL 34293-3129. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is his primary health care specialty. Tibbils, Richard Perry can be contacted via phone (941) 244-2922.Contact Information
Primary practice address
1872 Tamiami Trl S Ste B
Venice FL 34293-3129
Phone: (941) 244-2922
Fax: (941) 244-2923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 1477 | Kansas |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY 1481 | Florida |
Profile Details
| NPI number | 1386782258 |
|---|---|
| LBN Legal business name | Tibbils, Richard Perry |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 14th, 2009 - about 17 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 | 1386782258 | NPPES |
| Florida | Other | J0004 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 200000130C | BLUE CROSS BLUE SHIELD |
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