Gibbons, John M

Gibbons, John M is an individual health care provider with primary practice located at 100 Trich Dr Suite 2, Washington PA 15301-5990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gibbons, John M can be contacted via phone (724) 225-8657.

Contact Information

Primary practice address
100 Trich Dr Suite 2 Washington PA 15301-5990
Fax: (724) 228-8388
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD070531L Pennsylvania

Profile Details

NPI number 1588620553
LBN Legal business name Gibbons, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 2nd, 2015 - about 9 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 1588620553 NPPES
Pennsylvania MEDICAID 0018034680006
Pennsylvania MEDICAID 001803468

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