Mckibbin, Douglas William

Mckibbin, Douglas William is an individual health care provider with primary practice located at 70 Medical Center Cir Suite 308, Fishersville VA 22939-2273. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mckibbin, Douglas William can be contacted via phone (540) 932-5909.

Contact Information

Primary practice address
70 Medical Center Cir Suite 308 Fishersville VA 22939-2273
Phone: (540) 932-5909
Fax: (540) 932-5910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101035838 Virginia

Profile Details

NPI number 1447362090
LBN Legal business name Mckibbin, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 18th, 2013 - about 12 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 1447362090 NPPES
Virginia MEDICAID 7305117

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