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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1194820761 | NPPES |
| Arizona | MEDICAID | 249202 |
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