Provider Demographics
NPI:1760785638
Name:PHIBBS, BARBARA A (L AC, OMD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:PHIBBS
Suffix:
Gender:F
Credentials:L AC, OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26281 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-6201
Mailing Address - Country:US
Mailing Address - Phone:419-874-5998
Mailing Address - Fax:419-874-9475
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:SUITE 820
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-291-2031
Practice Address - Fax:419-291-2157
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65000058171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist