Bouber, Gemila H

Bouber, Gemila H is an individual health care provider with primary practice located at 1011 E Jefferson St , Charlottesville VA 22902-5354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bouber, Gemila H can be contacted via phone (434) 296-9161.

Contact Information

Primary practice address
1011 E Jefferson St Charlottesville VA 22902-5354
Phone: (434) 296-9161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101246875 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 221757 New York

Profile Details

NPI number 1679531479
LBN Legal business name Bouber, Gemila H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated May 10th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679531479 NPPES
New York Other 050607000034 FIDELIS
New York Other 109767DL FIDELIS
New York MEDICAID 00355266 FIDELIS
New York Other 1292712 FIDELIS
New York Other 00026563702 FIDELIS
New York Other P010221757 FIDELIS
New York Other 11121694 FIDELIS

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