Individual
DR. JEFFREY LYNN RIBLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 HIGH ST, SUITE 2F, PORTSMOUTH, VA 23707-3213
(757) 397-2383
(757) 397-5201
Mailing address
3640 HIGH ST, SUITE 2F, PORTSMOUTH, VA 23707-3213
(757) 397-2383
(757) 397-5201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101049629
VA
2086S0102X
Surgical Critical Care Physician
0101049629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007314001
—
VA
01
—
15979
OPTIMA
VA
01
—
463390
ANTHEM
VA
01
—
890692
MEDICARE RR
VA
Enumeration date
07/11/2005
Last updated
07/21/2021
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