Guibord, Roberta J
Guibord, Roberta J is an individual health care provider with primary practice located at 900 W S Boundary St Building 3B, Perrysburg OH 43551-5230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Guibord, Roberta J can be contacted via phone (419) 872-5556.Contact Information
Primary practice address
900 W S Boundary St Building 3B
Perrysburg OH 43551-5230
Phone: (419) 872-5556
Fax: (419) 872-5559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5868 | Ohio |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34.005868 | Ohio |
Profile Details
| NPI number | 1881694305 |
|---|---|
| LBN Legal business name | Guibord, Roberta J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Mar 9th, 2021 - about 4 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 | 1881694305 | NPPES |
| Ohio | MEDICAID | 0995839 | |
| Ohio | Other | 930122301 | |
| Ohio | Other | RO9364491 | |
| Ohio | Other | 000000271434 | |
| Ohio | Other | 810547599067 | |
| Ohio | MEDICAID | 4436166 | |
| Ohio | Other | GU4090794 |
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