Gibbons, Patrick John

Gibbons, Patrick John is an individual health care provider with primary practice located at 13700 St Francis Blvd Suite 500, Midlothian VA 23114-3222. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gibbons, Patrick John can be contacted via phone (804) 378-7443.

Contact Information

Primary practice address
13700 St Francis Blvd Suite 500 Midlothian VA 23114-3222
Fax: (804) 378-0744
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101229755 Virginia

Profile Details

NPI number 1336142124
LBN Legal business name Gibbons, Patrick John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 31st, 2007 - about 17 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 1336142124 NPPES
Virginia MEDICAID 006501478

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