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Contact Information

DEREK R LIBBY, DO
97A EXCHANGE ST
SUITE 201
PORTLAND, ME04101-5016
 Phone: 207-773-3335
 Fax: 207-774-4788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for DEREK R LIBBY · (Male)

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
  • ME License # 1967
  • ME License # DO1967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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