Gebke, Kevin B.
Gebke, Kevin B. is an individual health care provider with primary practice located at 1110 W Michigan St , Indianapolis IN 46202-5209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gebke, Kevin B. can be contacted via phone (317) 278-0118.Contact Information
Primary practice address
1110 W Michigan St
Indianapolis IN 46202-5209
Phone: (317) 278-0118
Fax: (317) 274-4444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 01052849 | Indiana |
Profile Details
NPI number | 1316903511 |
---|---|
LBN Legal business name | Gebke, Kevin B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Jan 20th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316903511 | NPPES |
Indiana | MEDICAID | 200331600 |
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