Tibbits, David L

Tibbits, David L is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 3400, Kettering OH 45429-1264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tibbits, David L can be contacted via phone (937) 293-8228.

Contact Information

Primary practice address
3533 Southern Blvd Ste 3400 Kettering OH 45429-1264
Fax: (937) 293-8229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35073353 Ohio

Profile Details

NPI number 1114907466
LBN Legal business name Tibbits, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114907466 NPPES
Ohio MEDICAID 2189493

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