Gibbons, James J

Gibbons, James J is an individual health care provider with primary practice located at 615 S New Ballas Rd Dept Of , Saint Louis MO 63141-8221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gibbons, James J can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Dept Of Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax: (636) 386-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X R9D30 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R9D30 Missouri

Profile Details

NPI number 1477558310
LBN Legal business name Gibbons, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 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 1477558310 NPPES
Missouri MEDICAID 202056826

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