Gildea, Jacob
Gildea, Jacob is an individual health care provider with primary practice located at 100 S 2Nd St Ste 301, Harrisburg PA 17101-2545. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gildea, Jacob can be contacted via phone (717) 782-3340.Contact Information
Primary practice address
100 S 2Nd St Ste 301
Harrisburg PA 17101-2545
Phone: (717) 782-3340
Fax: (717) 782-5352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | MD-441990 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | MD-441990 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD-441990 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD-441990 | Pennsylvania |
Profile Details
| NPI number | 1366598971 |
|---|---|
| LBN Legal business name | Gildea, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 17th, 2019 - about 5 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 | 1366598971 | NPPES |
| Pennsylvania | MEDICAID | 1025892300001 | |
| Pennsylvania | Other | P00939323 |
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