Gibb, Tyler Douglass
Gibb, Tyler Douglass is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibb, Tyler Douglass can be contacted via phone (360) 425-5131.Contact Information
Primary practice address
400 Ne Mother Joseph Pl
Vancouver WA 98664-3200
Phone: (360) 425-5131
Fax: (360) 425-5509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00034512 | Washington |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00034512 | Washington |
Profile Details
NPI number | 1255311288 |
---|---|
LBN Legal business name | Gibb, Tyler Douglass |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2006 |
Last updated | Jul 2nd, 2024 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255311288 | NPPES |
Washington | Other | 0383459 | L&I-RADIA SEATTLE |
Washington | Other | 0422055 | L&I-RADIA SEATTLE |
Washington | Other | 0383458 | L&I-RADIA SEATTLE |
Washington | Other | 0415512 | L&I-RADIA SEATTLE |
Washington | MEDICAID | 1005976 | L&I-RADIA SEATTLE |
Washington | MEDICAID | 150946 | L&I-RADIA SEATTLE |
Washington | Other | 0422056 | L&I-RADIA SEATTLE |
Washington | Other | 0402006 | L&I-RADIA SEATTLE |
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