Gibbons, Gerald P
Gibbons, Gerald P is an individual health care provider with primary practice located at 1620 Highway 315 Blvd Ste 1 , Wilkes Barre PA 18702-7125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gibbons, Gerald P can be contacted via phone (570) 237-5444.Contact Information
Primary practice address
1620 Highway 315 Blvd Ste 1
Wilkes Barre PA 18702-7125
Phone: (570) 237-5444
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD020226E | Pennsylvania |
Profile Details
NPI number | 1336147883 |
---|---|
LBN Legal business name | Gibbons, Gerald P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Jun 15th, 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 | 1336147883 | NPPES |
Pennsylvania | Other | 001188 | FIRST PRIORITY HEALTH |
Pennsylvania | MEDICAID | 0006032010001 | FIRST PRIORITY HEALTH |
Pennsylvania | Other | 020338000 | FIRST PRIORITY HEALTH |
Pennsylvania | Other | 12039 E222 | FIRST PRIORITY HEALTH |
Pennsylvania | Other | 020316 | FIRST PRIORITY HEALTH |
Pennsylvania | Other | 020316 | FIRST PRIORITY HEALTH |
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