Tibuah, Frederick
Tibuah, Frederick is an sole proprietor health care provider with primary practice located at 1601 Kirkwood Hwy , Wilmington DE 19805-4917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Tibuah, Frederick can be contacted via phone (910) 343-5300.Contact Information
Primary practice address
1601 Kirkwood Hwy
Wilmington DE 19805-4917
Phone: (910) 343-5300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 243022 | Delaware |
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 243022 | Delaware |
Profile Details
NPI number | 1518504075 |
---|---|
LBN Legal business name | Tibuah, Frederick |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2019 |
Last updated | Dec 4th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518504075 | NPPES |
Other | PAYAT50604321 | BLUECROSS BLUESHIELD |
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