Eaton, Anthony Gibran
Eaton, Anthony Gibran is an individual health care provider with primary practice located at 87 Jackson St , Methuen MA 01844-5044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eaton, Anthony Gibran can be contacted via phone (978) 208-4756.Contact Information
Primary practice address
87 Jackson St
Methuen MA 01844-5044
Phone: (978) 208-4756
Fax: (978) 686-6584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 220078 | Massachusetts |
Profile Details
| NPI number | 1831193101 |
|---|---|
| LBN Legal business name | Eaton, Anthony Gibran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Feb 12th, 2014 - about 12 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 | 1831193101 | NPPES |
| Massachusetts | MEDICAID | 2061546 | |
| Massachusetts | Other | 469196 | |
| Massachusetts | Other | J27682 | |
| Massachusetts | Other | AA13929 |
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