Dr. Dennis Wayne Mckibben
Foot & Ankle Surgery
7501 Hospital Dr Suite 303
Sacramento
, California 95823-5405
Dr. Dennis Wayne Mckibben
Foot & Ankle Surgery
7501 Hospital Dr Suite 303
Sacramento
, California 95823-5405
(916) 688-8010
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Dennis Wayne Mckibben
- 7501 Hospital Dr Suite 303
- Sacramento, CA
- Zip : 95823-5405
- Fax : (916) 688-8010
- Phone : (916) 688-8008
Second Address
- Dr. Dennis Wayne Mckibben
- 7501 Hospital Dr Suite 303
- Sacramento, CA
- Zip : 95823-5405
- Fax : (916) 688-8010
- Phone : (916) 688-8008
Reviews
FAQs
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Is Dr. Dennis Wayne Mckibben a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E25930 | CA |
National Provider Identifier
| NPI | 1013955905 |
|---|---|
| Provider Name | Dr. Dennis Wayne Mckibben |
| First Address | Sacramento, CA 95823-5405 |
| Second Address | Sacramento, CA 95823-5405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 02/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 480000714 | RAILROAD MEDICARE (01) | CA |
| 5317019 | (05) | CA |
| T11390 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.