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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508921651 NPPES
Missouri MEDICAID 202404877

Popular Providers