Gibbons, Michael D
Gibbons, Michael D is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd Ste 5A43 , Newark DE 19718-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gibbons, Michael D can be contacted via phone (302) 623-0188.Contact Information
Primary practice address
4755 Ogletown Stanton Rd Ste 5A43
Newark DE 19718-2200
Phone: (302) 623-0188
Fax: (302) 733-5640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C1-0024436 | Delaware |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 45257 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | C1-0024436 | Delaware |
Profile Details
| NPI number | 1285838763 |
|---|---|
| LBN Legal business name | Gibbons, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Sep 14th, 2021 - about 5 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 | 1285838763 | NPPES |
| Tennessee | MEDICAID | 1522473 | |
| Tennessee | Other | 4267480 | |
| Tennessee | Other | P00888532 | |
| Tennessee | MEDICAID | 7100104920 |
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