DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK R LIBBY, DO

Active Sole Proprietor

DR. DEREK R LIBBY, DO is a 2083A0300X healthcare provider located in PORTLAND, Maine. NPI 1184815730 is currently active in the NPPES registry. Verify at CMS.

2083A0300X · PORTLAND, ME

Registration Details

NPI Number
1184815730
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2007 (19.048148775734 yrs)
Last Updated
Sep 23, 2022
Licenses
1967 (ME)
DO1967 (ME)
Sole Proprietor
Yes

Practice Information

Address
97A EXCHANGE ST
SUITE 201
PORTLAND, ME, 041015016
Browse ME providers · Browse ZIP 04101
Phone
2077733335
Fax
2077744788
Primary Specialty
2083A0300X
2083A0300X
Additional Specialty
2083A0300X

Other 2083A0300X Providers in PORTLAND, ME

Name Credential NPI
DR. JACOB EMERSON CROTHERS M.D. 1336433085
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.