Dibb, Charles R

Dibb, Charles R is an individual health care provider with primary practice located at 2828 E Barnett Rd , Medford OR 97504-8342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dibb, Charles R can be contacted via phone (541) 774-5853.

Contact Information

Primary practice address
2828 E Barnett Rd Medford OR 97504-8342
Fax: (541) 608-6632
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD17987 Oregon

Profile Details

NPI number 1245286301
LBN Legal business name Dibb, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 15th, 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 1245286301 NPPES
Oregon MEDICAID 046057

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