Gabriel, Chantal D
Gabriel, Chantal D is an sole proprietor health care provider with primary practice located at 75 Summit Ave Ste 200 , Hackensack NJ 07601-8504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Gabriel, Chantal D can be contacted via phone (201) 734-5853.Contact Information
Primary practice address
75 Summit Ave Ste 200
Hackensack NJ 07601-8504
Phone: (201) 734-5853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA07511100 | New Jersey |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA07511100 | New Jersey |
Profile Details
| NPI number | 1366584195 |
|---|---|
| LBN Legal business name | Gabriel, Chantal D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Apr 6th, 2024 - about 2 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 | 1366584195 | NPPES |
| New Jersey | MEDICAID | 0147516 |
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