Mccarten-Gibbs, Kevan Alexander
Mccarten-Gibbs, Kevan Alexander is an sole proprietor health care provider with primary practice located at 747 52Nd St Department Of Emergency Medicine, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Mccarten-Gibbs, Kevan Alexander can be contacted via phone (510) 428-3259.Contact Information
Primary practice address
747 52Nd St Department Of Emergency Medicine
Oakland CA 94609-1809
Phone: (510) 428-3259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | G78392 | California |
Profile Details
| NPI number | 1013939495 |
|---|---|
| LBN Legal business name | Mccarten-Gibbs, Kevan Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 7th, 2021 - about 3 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 | 1013939495 | NPPES |
| New Jersey | MEDICAID | 5157102 | |
| New Jersey | MEDICAID | GR0095780 |
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