Libby, Brock Donald
Libby, Brock Donald is an individual health care provider with primary practice located at 75 John Roberts Rd Bldg B , South Portland ME 04106-6967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Libby, Brock Donald can be contacted via phone (207) 775-4151.Contact Information
Primary practice address
75 John Roberts Rd Bldg B
South Portland ME 04106-6967
Phone: (207) 775-4151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD22819 | Maine |
Profile Details
| NPI number | 1205192432 |
|---|---|
| LBN Legal business name | Libby, Brock Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2012 |
| Last updated | Jul 25th, 2019 - about 5 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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