Gibbons, Robert W
Gibbons, Robert W is an individual health care provider with primary practice located at 2050 Mineral Spring Ave , North Providence RI 02911. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gibbons, Robert W can be contacted via phone (401) 231-0500.Contact Information
Primary practice address
2050 Mineral Spring Ave
North Providence RI 02911
Phone: (401) 231-0500
Fax: (401) 231-3312
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DPM00189 | Rhode Island |
Profile Details
NPI number | 1619056355 |
---|---|
LBN Legal business name | Gibbons, Robert W |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2006 |
Last updated | Feb 7th, 2008 - 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 | 1619056355 | NPPES |
Rhode Island | MEDICAID | 9007348 |
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