Libby, Jocelyn Diane
Libby, Jocelyn Diane is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Libby, Jocelyn Diane can be contacted via phone (952) 993-1440.Contact Information
Primary practice address
9555 Upland Ln N
Maple Grove MN 55369-4485
Phone: (952) 993-1440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00045260 | Washington |
Profile Details
| NPI number | 1841255072 |
|---|---|
| LBN Legal business name | Libby, Jocelyn Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 12th, 2021 - about 3 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 | 1841255072 | NPPES |
| Washington | MEDICAID | 1122423 |
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