Gibbs, Emilie Koepke

Gibbs, Emilie Koepke is an individual health care provider with primary practice located at 10 Queen St , Newtown CT 06470-2156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gibbs, Emilie Koepke can be contacted via phone (203) 426-3267.

Contact Information

Primary practice address
10 Queen St Newtown CT 06470-2156
Phone: (203) 426-3267
Fax: (203) 426-3903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001401 Connecticut

Profile Details

NPI number 1154318251
LBN Legal business name Gibbs, Emilie Koepke
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 6th, 2018 - about 8 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 1154318251 NPPES
Other 290001401CT01 BLUE CROSS BLUE SHIELD
Other 300461 BLUE CROSS BLUE SHIELD
Other 2V2497 BLUE CROSS BLUE SHIELD
Other 140100 BLUE CROSS BLUE SHIELD

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