Mckibben, Brian Thomas

Mckibben, Brian Thomas is an individual health care provider with primary practice located at 1515 May St , Jacksonville FL 32204-4007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mckibben, Brian Thomas can be contacted via phone (904) 353-5921.

Contact Information

Primary practice address
1515 May St Jacksonville FL 32204-4007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 40936 Florida

Profile Details

NPI number 1609828557
LBN Legal business name Mckibben, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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