Libby, Glen D
Libby, Glen D is an individual health care provider with primary practice located at 601 John St Ste 352, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Libby, Glen D can be contacted via phone (269) 341-8986.Contact Information
Primary practice address
601 John St Ste 352
Kalamazoo MI 49007-5341
Phone: (269) 341-8986
Fax: (269) 341-6236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 4301050097 | Michigan |
Profile Details
| NPI number | 1144200742 |
|---|---|
| LBN Legal business name | Libby, Glen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Oct 16th, 2014 - about 10 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 | 1144200742 | NPPES |
| Michigan | MEDICAID | 1744625 |
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