Gilbert, Timothy
Gilbert, Timothy is an sole proprietor health care provider with primary practice located at 121 Patton Drive , Ponca City OK 74601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gilbert, Timothy can be contacted via phone (580) 762-6676.Contact Information
Primary practice address
121 Patton Drive
Ponca City OK 74601
Phone: (580) 762-6676
Fax: (580) 762-0094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 14301 | Oklahoma |
Profile Details
| NPI number | 1336100288 |
|---|---|
| LBN Legal business name | Gilbert, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Nov 9th, 2021 - about 3 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 | 1336100288 | NPPES |
| Oklahoma | MEDICAID | 10095390A |
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