Gilbertson, Phillip Roy

Gilbertson, Phillip Roy is an individual health care provider with primary practice located at 8204 Wyoming Hwy 789 , Lander WY 82520-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilbertson, Phillip Roy can be contacted via phone (307) 335-6716.

Contact Information

Primary practice address
8204 Wyoming Hwy 789 Lander WY 82520-2945
Fax: (307) 335-6991
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2459A Wyoming

Profile Details

NPI number 1366538076
LBN Legal business name Gilbertson, Phillip Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 3rd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366538076 NPPES
Wyoming MEDICAID 105078800
Wyoming Other 080035569
Wyoming Other 301811

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