Gibbs, Diane Carol

Gibbs, Diane Carol is an individual health care provider with primary practice located at 10580 N Meridian St , Indianapolis IN 46290-1028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Gibbs, Diane Carol can be contacted via phone (317) 583-5000.

Contact Information

Primary practice address
10580 N Meridian St Indianapolis IN 46290-1028
Phone: (317) 583-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 01027979 Indiana

Profile Details

NPI number 1588665988
LBN Legal business name Gibbs, Diane Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 15th, 2014 - about 10 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 1588665988 NPPES
Indiana MEDICAID 100421430

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