Tibbs, Patricia A.

Tibbs, Patricia A. is an individual health care provider with primary practice located at 1203 Avenue B , Ellisville MS 39437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tibbs, Patricia A. can be contacted via phone (601) 477-3550.

Contact Information

Primary practice address
1203 Avenue B Ellisville MS 39437
Phone: (601) 477-3550
Fax: (601) 477-9158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MS15492 Mississippi

Profile Details

NPI number 1861498610
LBN Legal business name Tibbs, Patricia A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 20th, 2011 - about 15 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 1861498610 NPPES
Mississippi MEDICAID 00118835

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