Hibbs, Susan Gayle

Hibbs, Susan Gayle is an individual health care provider with primary practice located at 4805 Montgomery Rd Ste 410, Cincinnati OH 45212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Hibbs, Susan Gayle can be contacted via phone (513) 241-2370.

Contact Information

Primary practice address
4805 Montgomery Rd Ste 410 Cincinnati OH 45212
Phone: (513) 241-2370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 46587 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.138748 Ohio

Profile Details

NPI number 1053353268
LBN Legal business name Hibbs, Susan Gayle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 21st, 2022 - about 2 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 1053353268 NPPES
Wisconsin MEDICAID 34552200
Wisconsin Other 002071450

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