Gibbons, Stacey
Gibbons, Stacey is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gibbons, Stacey can be contacted via phone (409) 772-1221.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-5302
Phone: (409) 772-1221
Fax: (409) 772-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 047596 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 41738 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | T5325 | Texas |
Profile Details
| NPI number | 1124082250 |
|---|---|
| LBN Legal business name | Gibbons, Stacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Aug 23rd, 2022 - about 2 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 | 1124082250 | NPPES |
| Georgia | MEDICAID | 000921181E | |
| Georgia | Other | 989896 |
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