Gibeault, J David

Gibeault, J David is an individual health care provider with primary practice located at 3100 N Campbell Ave Suite 102, Tucson AZ 85719-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Gibeault, J David can be contacted via phone (520) 577-1200.

Contact Information

Primary practice address
3100 N Campbell Ave Suite 102 Tucson AZ 85719-2315
Phone: (520) 577-1200
Fax: (520) 577-1559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 13121 Arizona

Profile Details

NPI number 1194820761
LBN Legal business name Gibeault, J David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 22nd, 2007 - about 18 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 1194820761 NPPES
Arizona MEDICAID 249202

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