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Contact Information

ANNE C DIBALA, MD
71 S FLANNAGAN AVENUE
LEBANON, VA24266
 Phone: 276-883-8042
 Fax: 276-883-8044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ANNE C DIBALA · (Female)

NPI Number 1487614301
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 02/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 13214
  • VA License # 0101047498
  • SC Medicaid 132145
  • SC Medicaid 327877
  • SC Medicaid 405127
  • VA Medicaid 1487614301
  • VA Other 534147000 MAGELLAN
  • VA Other P01414635 RAILROAD MEDICARE
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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