Gustave, Jodi E
Gustave, Jodi E is an individual health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803-3607. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Gustave, Jodi E can be contacted via phone (302) 651-4200.Contact Information
Primary practice address
1600 Rockland Rd
Wilmington DE 19803-3607
Phone: (302) 651-4200
Fax: (302) 651-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 095362 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 062994 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD421678 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD421678 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 25MA08162100 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD421678 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | C10011083 | Delaware |
Profile Details
| NPI number | 1174554190 |
|---|---|
| LBN Legal business name | Gustave, Jodi E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1174554190 | NPPES |
| Pennsylvania | MEDICAID | 101141866 | |
| Pennsylvania | MEDICAID | 0050539 | |
| Pennsylvania | Other | 1655572 | |
| Pennsylvania | MEDICAID | 406294900 |
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