Glen D Libby in Kalamazoo - Pediatric Critical Care Medicine
Glen D Libby - NPI 1144200742
Glen D Libby is a Pediatric Critical Care Medicine in Kalamazoo, Michigan. Glen D Libby practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Glen D Libby is 1144200742. The last update date is 2014-10-16.
Glen D Libby's current location address is 601 John St, Kalamazoo, Michigan. You can contact this provider via phone number 2693418986 and fax number 2693416236. The mailing address for Glen D Libby is 601 John St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen D Libby |
|---|---|
| Address | 601 John St, Kalamazoo, Michigan |
| Phone Number | 2693418986 |
| Fax Number | 2693416236 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144200742 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2014-10-16 |
Provider Mailing Address Detail
| Address | 601 John St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490075341 |
| Phone Number | 2693418986 |
| Fax Number | 2693416236 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 4301050097 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1744625 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glen D Libby by the Centers for Medicare & Medicaid Services?
The Glen D Libby has been issued the NPI (National Provider Identifier) 1144200742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glen D Libby's physical address?
The Glen D Libby is physically located at 601 John St, in the city of Kalamazoo, MI, with the postal code 490075341.
What is Glen D Libby's area of expertise and its corresponding taxonomy classification?
The Glen D Libby's field of specialization is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their areas of practice.
When did Glen D Libby receive its 1144200742 assignment?
The Glen D Libby was assigned its 1144200742 on 2006-01-19, which is the date when this unique identifier was issued to the organization.
When was the information related to Glen D Libby most recently updated or refreshed?
The details pertaining to the Glen D Libby, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-16.
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