Kishbaugh, David

Kishbaugh, David is an sole proprietor health care provider with primary practice located at 2109 Valleygate Dr Suite 201, Fayetteville NC 28304-3571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kishbaugh, David can be contacted via phone (910) 486-8880.

Contact Information

Primary practice address
2109 Valleygate Dr Suite 201 Fayetteville NC 28304-3571
Phone: (910) 486-8880
Fax: (910) 486-8886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9500379 North Carolina

Profile Details

NPI number 1053374157
LBN Legal business name Kishbaugh, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Feb 11th, 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 1053374157 NPPES
North Carolina MEDICAID 8949528

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