Jacob Libby, OTRL is a
Occupational Therapist based in Sturgis, Michigan. Jacob Libby is licensed to practice in Michigan (license number 5201007506) and his current practice location is
1717 E Chicago Rd, Suite 1, Sturgis, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 659-4468.
NPI number for Jacob Libby is 1790142107 and his current mailing address is 1717 E Chicago Rd, Suite 1, Sturgis, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790142107.
Healthcare Provider's Profile
Full Name | Jacob Libby |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 1717 E Chicago Rd, Sturgis, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790142107
- Provider Enumeration Date: 01/15/2016
- Last Update Date: 01/15/2016
Medical Identifiers
Medical identifiers for Jacob Libby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790142107 | NPI | - | NPPES |
5201007506 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5201007506 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Libby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob Libby, OTRL 1717 E Chicago Rd, Suite 1, Sturgis, MI 49091-8524 Ph: (269) 659-4468 | Jacob Libby, OTRL 1717 E Chicago Rd, Suite 1, Sturgis, MI 49091-8524 Ph: (269) 659-4468 |
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