Gilbert, Jon Michael
Gilbert, Jon Michael is an individual health care provider with primary practice located at 2395 Center St Ne , Salem OR 97301-4464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gilbert, Jon Michael can be contacted via phone (503) 364-2181.Contact Information
Primary practice address
2395 Center St Ne
Salem OR 97301-4464
Phone: (503) 364-2181
Fax: (503) 364-0364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 09377 | Oregon |
Profile Details
| NPI number | 1396781605 |
|---|---|
| LBN Legal business name | Gilbert, Jon Michael |
| Credentials | M.D., FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 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 | 1396781605 | NPPES |
| Oregon | MEDICAID | 071662 |
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