Gibbs, Randolph Douglas
Gibbs, Randolph Douglas is an sole proprietor health care provider with primary practice located at 91275 66Th Ave Suite 500, Mecca CA 92254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as his primary health care specialty. Gibbs, Randolph Douglas can be contacted via phone (614) 659-0871.Contact Information
Primary practice address
91275 66Th Ave Suite 500
Mecca CA 92254
Phone: (614) 659-0871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | 35046271 | Ohio |
Profile Details
| NPI number | 1487859294 |
|---|---|
| LBN Legal business name | Gibbs, Randolph Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jan 13th, 2012 - about 13 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 | 1487859294 | NPPES |
| Ohio | MEDICAID | 0504029 |
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