Dibble, William J

Dibble, William J is an individual health care provider with primary practice located at 4000 Medical Center Dr. Suite 101 D/E, Fayetteville NY 13066-6610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dibble, William J can be contacted via phone (315) 637-7878.

Contact Information

Primary practice address
4000 Medical Center Dr. Suite 101 D/E Fayetteville NY 13066-6610
Phone: (315) 637-7878
Fax: (315) 637-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 191174 New York

Profile Details

NPI number 1356301774
LBN Legal business name Dibble, William J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356301774 NPPES
New York MEDICAID 01411527

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