Gibson, Jacob B
Gibson, Jacob B is an individual health care provider with primary practice located at 2350 Miami Valley Dr Ste 310 , Centerville OH 45459-4778. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gibson, Jacob B can be contacted via phone (937) 438-5216.Contact Information
Primary practice address
2350 Miami Valley Dr Ste 310
Centerville OH 45459-4778
Phone: (937) 438-5216
Fax: (937) 438-5229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34-00-8573 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34.008573 | Ohio |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 34008573 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 34008573 | Ohio |
Profile Details
| NPI number | 1780698811 |
|---|---|
| LBN Legal business name | Gibson, Jacob B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Mar 22nd, 2022 - about 4 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 | 1780698811 | NPPES |
| Ohio | MEDICAID | 2598836 |
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