Individual
MRS. LIBBY TIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
2809 WASHINGTON AVE, BEDFORD, IN 47421-5310
(812) 279-8232
(812) 279-5884
Mailing address
2809 WASHINGTON AVE, BEDFORD, IN 47421-5310
(812) 279-8232
(812) 279-5884
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17000848A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201140
BLUE CROSS & BLUE SHEILD
—
Enumeration date
06/15/2007
Last updated
07/08/2007
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