Gibble, Leon Wagner

Gibble, Leon Wagner is an individual health care provider with primary practice located at 44 North Fifth Street , Mount Wolf PA 17347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gibble, Leon Wagner can be contacted via phone (717) 266-3631.

Contact Information

Primary practice address
44 North Fifth Street Mount Wolf PA 17347
Phone: (717) 266-3631
Fax: (717) 266-6751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD024778E Pennsylvania

Profile Details

NPI number 1720181894
LBN Legal business name Gibble, Leon Wagner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 27th, 2011 - about 15 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 1720181894 NPPES
Pennsylvania Other 194265 BS
Pennsylvania Other P00314888 BS
Pennsylvania Other 01713101 BS

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