Gibler, Andrew Nathan

Gibler, Andrew Nathan is an individual health care provider with primary practice located at 1123 Adams Ave , La Grande OR 97850-2692. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gibler, Andrew Nathan can be contacted via phone (541) 963-5741.

Contact Information

Primary practice address
1123 Adams Ave La Grande OR 97850-2692
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11081 Oregon

Profile Details

NPI number 1174771984
LBN Legal business name Gibler, Andrew Nathan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 17 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 1174771984 NPPES
Oregon MEDICAID 283713

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