Gilbert, Roger W
Gilbert, Roger W is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 850 , Phoenix AZ 85013-4218. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gilbert, Roger W can be contacted via phone (602) 406-1150.Contact Information
Primary practice address
500 W Thomas Rd Ste 850
Phoenix AZ 85013-4218
Phone: (602) 406-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3209 | Arizona |
Profile Details
| NPI number | 1851383236 |
|---|---|
| LBN Legal business name | Gilbert, Roger W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851383236 | NPPES |
| Arizona | MEDICAID | 961111 | |
| Arizona | Other | 3209 |
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