Omenn, Gilbert S
Omenn, Gilbert S is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr Lobby C, Ann Arbor MI 48105-9484. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Omenn, Gilbert S can be contacted via phone (734) 647-8906.Contact Information
Primary practice address
24 Frank Lloyd Wright Dr Lobby C
Ann Arbor MI 48105-9484
Phone: (734) 647-8906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301073173 | Michigan |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 4301073173 | Michigan |
Profile Details
| NPI number | 1649351081 |
|---|---|
| LBN Legal business name | Omenn, Gilbert S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Feb 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649351081 | NPPES |
| Michigan | MEDICAID | 4692120 |
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