Gifford, Joseph D

Gifford, Joseph D is an individual health care provider with primary practice located at 275 W 12Th St , Peru IN 46970-1638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gifford, Joseph D can be contacted via phone (765) 472-8000.

Contact Information

Primary practice address
275 W 12Th St Peru IN 46970-1638
Phone: (765) 472-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01020791A Indiana
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 01020791A Indiana

Profile Details

NPI number 1194706150
LBN Legal business name Gifford, Joseph D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 31st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194706150 NPPES
Indiana MEDICAID 100084220B
Indiana Other 220004842

Popular Providers