Gibbs, Elmer Rickey
Gibbs, Elmer Rickey is an sole proprietor health care provider with primary practice located at 49 Cleveland St 310 , Crossville TN 38555-2854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gibbs, Elmer Rickey can be contacted via phone (931) 787-1232.Contact Information
Primary practice address
49 Cleveland St 310
Crossville TN 38555-2854
Phone: (931) 787-1232
Fax: (931) 787-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35733 | Tennessee |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35733 | Tennessee |
Profile Details
| NPI number | 1841293891 |
|---|---|
| LBN Legal business name | Gibbs, Elmer Rickey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 21st, 2016 - about 8 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 | 1841293891 | NPPES |
| Other | 27-1779467 | TAX ID | |
| MEDICAID | 3382060 | TAX ID | |
| Other | 4042486 | TAX ID | |
| Other | 4252798 | TAX ID |
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