Gembusia, Keith A
Gembusia, Keith A is an individual health care provider with primary practice located at 401 N. 8Th St. , Olean NY 14760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gembusia, Keith A can be contacted via phone (716) 379-8113.Contact Information
Primary practice address
401 N. 8Th St.
Olean NY 14760
Phone: (716) 379-8113
Fax: (716) 379-8115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 257608 | New York |
Profile Details
| NPI number | 1205020245 |
|---|---|
| LBN Legal business name | Gembusia, Keith A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Jun 28th, 2023 - about last year |
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 | 1205020245 | NPPES |
| New York | MEDICAID | 0018787180001 |
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