Derek R Libby in Portland - Addiction Medicine
Derek R Libby - NPI 1184815730
Derek R Libby is a Addiction Medicine in Portland, Maine. Derek R Libby practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Derek R Libby is 1184815730. The last update date is 2022-09-23.
Derek R Libby's current location address is 97a Exchange St, Portland, Maine. You can contact this provider via phone number 2077733335 and fax number 2077744788. The mailing address for Derek R Libby is 97a Exchange St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek R Libby |
|---|---|
| Address | 97a Exchange St, Portland, Maine |
| Phone Number | 2077733335 |
| Fax Number | 2077744788 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1184815730 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2022-09-23 |
Provider Mailing Address Detail
| Address | 97a Exchange St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41015016 |
| Phone Number | 2077733335 |
| Fax Number | 2077744788 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | DO1967 |
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Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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What is the unique provider identifier assigned to Derek R Libby?
The Derek R Libby has been issued the NPI (National Provider Identifier) 1184815730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Derek R Libby?
The Derek R Libby is physically situated at 97A Exchange St, in the city of Portland, state of ME, with the postal code 41015016.
What is Derek R Libby's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek R Libby's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083A0300X.
On what date did Derek R Libby receive its 1184815730 assignment from the Centers for Medicare & Medicaid Services?
The Derek R Libby was assigned its 1184815730 on 2007-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Derek R Libby's information last updated?
The Derek R Libby's information was last updated on 2022-09-23.
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