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Contact Information

MICHAEL J DIBLEY JR, D.C.,C.C.S.P
1709 E BRISTOL ST
ELKHART, IN46514-6606
 Phone: 574-264-9174
 Fax: 574-262-4070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MICHAEL J DIBLEY JR · (Male)

NPI Number 1245363696
Status Active
Credentials D.C.,C.C.S.P
Entity Individual
Enumeration date 03/14/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 08000910
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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