Kirby, David James
Kirby, David James is an individual health care provider with primary practice located at 109 N 28Th St E , Superior WI 54880-6548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kirby, David James can be contacted via phone (715) 395-3930.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29562 | Wisconsin |
Profile Details
| NPI number | 1629027032 |
|---|---|
| LBN Legal business name | Kirby, David James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 19th, 2007 - about 18 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 | 1629027032 | NPPES |
| Wisconsin | Other | P00368000 | MEDICARE RR |
| Wisconsin | Other | 080110287 | MEDICARE RR |
| Wisconsin | MEDICAID | 4957181 | MEDICARE RR |
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