Giebink, James Conrad

Giebink, James Conrad is an sole proprietor health care provider with primary practice located at 1130 Hickory St Ste A , Melbourne FL 32901-1973. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Giebink, James Conrad can be contacted via phone (321) 409-1956.

Contact Information

Primary practice address
1130 Hickory St Ste A Melbourne FL 32901-1973
Phone: (321) 409-1956
Fax: (321) 409-1253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X ME38372 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME38372 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME38372 Florida

Profile Details

NPI number 1689652091
LBN Legal business name Giebink, James Conrad
Credentials M.D., F.A.C.R.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Dec 14th, 2023 - about last year

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 1689652091 NPPES
Florida MEDICAID 372245700
Florida MEDICAID 040897200
Florida Other QG681

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