Upchurch, Gilbert R

Upchurch, Gilbert R is an individual health care provider with primary practice located at 1600 Sw Archer Rd # 100128 , Gainesville FL 32610-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Upchurch, Gilbert R can be contacted via phone (352) 273-5484.

Contact Information

Primary practice address
1600 Sw Archer Rd # 100128 Gainesville FL 32610-0001
Phone: (352) 273-5484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301075173 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101248214 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301075173 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME134014 Florida

Profile Details

NPI number 1578664488
LBN Legal business name Upchurch, Gilbert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 7th, 2017 - about 7 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 1578664488 NPPES
Michigan MEDICAID 4143530
Michigan MEDICAID 022772600

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