Mary Bibb is a Specialist in Jericho, Vermont. Mary Bibb practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Bibb is 1306004833. The last update date is 2008-05-31.
Mary Bibb's current location address is 54 Pinehurst Dr, Jericho, Vermont. You can contact this provider via phone number 8028994845. The mailing address for Mary Bibb is 54 Pinehurst Dr, Jericho, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Bibb |
|---|---|
| Address | 54 Pinehurst Dr, Jericho, Vermont |
| Phone Number | 8028994845 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IBCLC |
NPI Number Detail
| NPI Number | 1306004833 |
|---|---|
| Provider Enumeration Date | 2008-05-31 |
| Last Updated Date | 2008-05-31 |
Provider Mailing Address Detail
| Address | 54 Pinehurst Dr |
|---|---|
| City | Jericho |
| State | Vermont (VT) |
| Post Code | 54652524 |
| Phone Number | 8028994845 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Mary Bibb by the Centers for Medicare & Medicaid Services?
The Mary Bibb has been assigned the NPI (National Provider Identifier) 1306004833. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Bibb?
The Mary Bibb is situated at 54 Pinehurst Dr, in the city of Jericho, state of VT, with the zip code 54652524.
What is the Mary Bibb's specialty and taxonomy code?
The Mary Bibb's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306004833 to Mary Bibb?
The Centers for Medicare & Medicaid Services originally issued the 1306004833 to Mary Bibb on 2008-05-31.
When was the Mary Bibb's information last updated?
The Mary Bibb's information was last updated on 2008-05-31.