Gabbart, Phyllis

Gabbart, Phyllis is an individual health care provider with primary practice located at 305 S Illinois St , Belleville IL 62220-2133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gabbart, Phyllis can be contacted via phone (618) 235-1703.

Contact Information

Primary practice address
305 S Illinois St Belleville IL 62220-2133
Phone: (618) 235-1703
Fax: (618) 222-5969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 04112574 Illinois

Profile Details

NPI number 1396834438
LBN Legal business name Gabbart, Phyllis
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 24th, 2016 - about 8 years 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 1396834438 NPPES
Illinois Other K37461 IL MEDICARE
Illinois Other 0000304010 IL MEDICARE

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