Dibala, Anne C

Dibala, Anne C is an individual health care provider with primary practice located at 71 S Flannagan Avenue , Lebanon VA 24266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dibala, Anne C can be contacted via phone (276) 883-8042.

Contact Information

Primary practice address
71 S Flannagan Avenue Lebanon VA 24266
Phone: (276) 883-8042
Fax: (276) 883-8044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13214 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101047498 Virginia

Profile Details

NPI number 1487614301
LBN Legal business name Dibala, Anne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 7th, 2017 - about 7 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 1487614301 NPPES
South Carolina MEDICAID 405127
South Carolina Other 534147000
South Carolina MEDICAID 132145
South Carolina MEDICAID 1487614301
South Carolina MEDICAID 327877
South Carolina Other P01414635

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