NPI Profile for Dr DEREK R LIBBY in PORTLAND, ME.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Neuromusculoskeletal Medicine & OMM |
204D00000X | 12 | Physician/Osteopathic Manipulative Medicine |
| NPI Number | 1184815730 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 08/08/2007 | |
| Last updated | 09/23/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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DEREK R LIBBY
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