Record, Carol Dibble

Record, Carol Dibble is an sole proprietor health care provider with primary practice located at 1450 Sachem Pl Ste 202, Charlottesville VA 22901-2554. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Record, Carol Dibble can be contacted via phone (434) 978-4090.

Contact Information

Primary practice address
1450 Sachem Pl Ste 202 Charlottesville VA 22901-2554
Phone: (434) 978-4090
Fax: (434) 978-1005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000232 Virginia

Profile Details

NPI number 1033153978
LBN Legal business name Record, Carol Dibble
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jul 28th, 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 1033153978 NPPES
Virginia Other 186515 ANTHEM BC/BS PJP OFFICE
Virginia Other 113326 ANTHEM BC/BS PJP OFFICE

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