Mckibben, Patrick Raymond

Mckibben, Patrick Raymond is an individual health care provider with primary practice located at 4440 Glen Este Withamsville Rd , Cincinnati OH 45245-1318. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mckibben, Patrick Raymond can be contacted via phone (513) 943-3630.

Contact Information

Primary practice address
4440 Glen Este Withamsville Rd Cincinnati OH 45245-1318
Phone: (513) 943-3630
Fax: (513) 753-4308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT.011095 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT.004781 Kentucky

Profile Details

NPI number 1053389114
LBN Legal business name Mckibben, Patrick Raymond
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 1st, 2010 - about 14 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 1053389114 NPPES
Ohio MEDICAID 2750545
Ohio Other 000000502323

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