Dibble, Timothy Daniel
Dibble, Timothy Daniel is an individual health care provider with primary practice located at 1123 N Evergreen Rd , Spokane Valley WA 99216-1138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dibble, Timothy Daniel can be contacted via phone (509) 363-3100.Contact Information
Primary practice address
1123 N Evergreen Rd
Spokane Valley WA 99216-1138
Phone: (509) 363-3100
Fax: (509) 363-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | M-7950 | Idaho |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | M-7950 | Idaho |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD00042632 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD00042632 | Washington |
Profile Details
| NPI number | 1508936212 |
|---|---|
| LBN Legal business name | Dibble, Timothy Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 17th, 2023 - about 2 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 | 1508936212 | NPPES |
| Washington | Other | CJ9109 | RAILROAD MEDICARE |
| Washington | Other | 157490 | RAILROAD MEDICARE |
| Washington | MEDICAID | 805808900 | RAILROAD MEDICARE |
| Washington | MEDICAID | 1115443 | RAILROAD MEDICARE |
| Washington | Other | 125300300 | RAILROAD MEDICARE |
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