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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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