Wibbels, Lawrence Evan
Wibbels, Lawrence Evan is an sole proprietor health care provider with primary practice located at 400 Parkland Dr , Farmington MO 63640-2906. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wibbels, Lawrence Evan can be contacted via phone (573) 756-8000.Contact Information
Primary practice address
400 Parkland Dr
Farmington MO 63640-2906
Phone: (573) 756-8000
Fax: (576) 756-8288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | R8G40 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MDR8G40 | Missouri |
Profile Details
| NPI number | 1508921651 |
|---|---|
| LBN Legal business name | Wibbels, Lawrence Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Nov 20th, 2015 - about 10 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 | 1508921651 | NPPES |
| Missouri | MEDICAID | 202404877 |
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