Gibbons, Daniel S

Gibbons, Daniel S is an individual health care provider with primary practice located at 23 Durham Rd Ste 101 , Freeport ME 04032-6796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Gibbons, Daniel S can be contacted via phone (207) 865-6655.

Contact Information

Primary practice address
23 Durham Rd Ste 101 Freeport ME 04032-6796
Phone: (207) 865-6655
Fax: (207) 865-6655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2222 Maine
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 2222 Maine

Profile Details

NPI number 1720242357
LBN Legal business name Gibbons, Daniel S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Sep 17th, 2021 - about 5 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 1720242357 NPPES
Mh MEDICAID 1720242357

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