Gibbs, Charles Clarence

Gibbs, Charles Clarence is an individual health care provider with primary practice located at 253 County Route 47 , Saranac Lake NY 12983-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gibbs, Charles Clarence can be contacted via phone (518) 891-2660.

Contact Information

Primary practice address
253 County Route 47 Saranac Lake NY 12983-5403
Phone: (518) 891-2660
Fax: (518) 891-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 136590 New York

Profile Details

NPI number 1316917446
LBN Legal business name Gibbs, Charles Clarence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1316917446 NPPES
New York Other 136590-1 NYS WORKERS' COMP
New York MEDICAID 00602433 NYS WORKERS' COMP

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