Gibson, Joanna Antonina

Gibson, Joanna Antonina is an individual health care provider with primary practice located at 20 York St Department Of Pathology Ep2-610, New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Gibson, Joanna Antonina can be contacted via phone (203) 737-6832.

Contact Information

Primary practice address
20 York St Department Of Pathology Ep2-610 New Haven CT 06510-3220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 050172 Connecticut

Profile Details

NPI number 1942372867
LBN Legal business name Gibson, Joanna Antonina
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 26th, 2013 - about 12 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 1942372867 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00771165

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