Giebeig, Peter Wendell

Giebeig, Peter Wendell is an individual health care provider with primary practice located at 5085 West Us Hwy 90 , Lake City FL 32055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Giebeig, Peter Wendell can be contacted via phone (386) 752-0090.

Contact Information

Primary practice address
5085 West Us Hwy 90 Lake City FL 32055
Phone: (386) 752-0090
Fax: (386) 719-9494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0074035 Florida

Profile Details

NPI number 1699838003
LBN Legal business name Giebeig, Peter Wendell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 7th, 2023 - about 2 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 1699838003 NPPES
Florida Other 46281 BCBS
Florida Other DB0176 BCBS
Florida MEDICAID 258476000 BCBS

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