Hibbett, Kevin G

Hibbett, Kevin G is an individual health care provider with primary practice located at 835 S Main St Suite 1, Oconto Falls WI 54154-1282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hibbett, Kevin G can be contacted via phone (920) 846-8187.

Contact Information

Primary practice address
835 S Main St Suite 1 Oconto Falls WI 54154-1282
Fax: (920) 846-2073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 55064-20 Wisconsin

Profile Details

NPI number 1912936055
LBN Legal business name Hibbett, Kevin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Dec 7th, 2010 - about 15 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 1912936055 NPPES
Wisconsin Other 1467583096 CMH PCC OF NPI
Wisconsin Other 1851477913 CMH PCC OF NPI

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