Robert B Dibble in Bishop - Rehabilitation, Substance Use Disorder
Robert B Dibble - NPI 1417076563
Robert B Dibble is a Rehabilitation, Substance Use Disorder in Bishop, California. Robert B Dibble practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Robert B Dibble is 1417076563. The last update date is 2013-01-30.
Robert B Dibble's current location address is 375 E Line St, Bishop, California. You can contact this provider via phone number 7608734357 and fax number 7608737446. The mailing address for Robert B Dibble is 375 E Line St, Bishop, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert B Dibble |
|---|---|
| Address | 375 E Line St, Bishop, California |
| Phone Number | 7608734357 |
| Fax Number | 7608737446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Dibble Bailey Robert |
| Credentials | PH.D. PSYC |
| Telephone Number | 7608734357 |
NPI Number Detail
| NPI Number | 1417076563 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2013-01-30 |
Provider Mailing Address Detail
| Address | 375 E Line St |
|---|---|
| City | Bishop |
| State | California (CA) |
| Post Code | 935143566 |
| Phone Number | 7608734357 |
| Fax Number | 7608737446 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 140001AP |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3336 | CA | BLUE CROSS ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert B Dibble?
The Robert B Dibble has been issued the NPI (National Provider Identifier) 1417076563 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 street address where Robert B Dibble is physically located?
The Robert B Dibble is physically situated at the following address: 375 E Line St, Bishop, CA, 935143566.
What is Robert B Dibble's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert B Dibble's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
When did Robert B Dibble receive its 1417076563 assignment?
The Robert B Dibble was assigned its 1417076563 on 2007-03-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Robert B Dibble's details last updated?
The information pertaining to the Robert B Dibble, including its address, specialty, and other details, was most recently updated on 2013-01-30.
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