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
Phone: (804) 378-7443
Fax: (804) 378-0744
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336142124 | NPPES |
| Virginia | MEDICAID | 006501478 |
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