Libby, Jonathan

Libby, Jonathan is an individual health care provider with primary practice located at 100 Campus Ave Apt 203 , Lewiston ME 04240-6079. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Libby, Jonathan can be contacted via phone (207) 755-3160.

Contact Information

Primary practice address
100 Campus Ave Apt 203 Lewiston ME 04240-6079
Phone: (207) 755-3160
Fax: (207) 755-3166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 041889 Maine

Profile Details

NPI number 1558324772
LBN Legal business name Libby, Jonathan
Credentials DNP, APRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 3rd, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558324772 NPPES
Maine MEDICAID 245420099

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