Bibb, Douglas Mitchell
Bibb, Douglas Mitchell is an sole proprietor health care provider with primary practice located at 1300 Cogswell Ave , Pell City AL 35125-1397. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bibb, Douglas Mitchell can be contacted via phone (757) 272-4638.Contact Information
Primary practice address
1300 Cogswell Ave
Pell City AL 35125-1397
Phone: (757) 272-4638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2001 | Alabama |
Profile Details
| NPI number | 1417449513 |
|---|---|
| LBN Legal business name | Bibb, Douglas Mitchell |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2018 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1417449513 | NPPES |
| Other | 2255A2300X | PRIVATE |
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