Mcgibbon, Jacqueline

Mcgibbon, Jacqueline is an individual health care provider with primary practice located at 600 Commerce Blvd , Stroudsburg PA 18360-6214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcgibbon, Jacqueline can be contacted via phone (570) 424-7390.

Contact Information

Primary practice address
600 Commerce Blvd Stroudsburg PA 18360-6214
Phone: (570) 424-7390
Fax: (570) 424-7395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201443 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD073233L Pennsylvania

Profile Details

NPI number 1467412742
LBN Legal business name Mcgibbon, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 27th, 2014 - about 10 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 1467412742 NPPES
New York MEDICAID 01652111

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