Ibach, Michael B
Ibach, Michael B is an individual health care provider with primary practice located at 1375 Roberts Dr Ste 204, Jacksonville Beach FL 32250-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ibach, Michael B can be contacted via phone (904) 247-0056.Contact Information
Primary practice address
1375 Roberts Dr Ste 204
Jacksonville Beach FL 32250-3210
Phone: (904) 247-0056
Fax: (904) 241-0065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 26687 | Tennessee |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME67895 | Florida |
Profile Details
NPI number | 1053362723 |
---|---|
LBN Legal business name | Ibach, Michael B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | May 24th, 2011 - about 14 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 | 1053362723 | NPPES |
Florida | Other | 14AW4 | BCBS |
Florida | MEDICAID | 003230300 | BCBS |
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