Gibson, Joanna Antonina
Gibson, Joanna Antonina is an individual health care provider with primary practice located at 20 York St Department Of Pathology Ep2-610, New Haven CT 06510-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Gibson, Joanna Antonina can be contacted via phone (203) 737-6832.Contact Information
Primary practice address
20 York St Department Of Pathology Ep2-610
New Haven CT 06510-3220
Phone: (203) 737-6832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 050172 | Connecticut |
Profile Details
| NPI number | 1942372867 |
|---|---|
| LBN Legal business name | Gibson, Joanna Antonina |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 26th, 2013 - about 13 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 | 1942372867 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | Other | P00771165 |
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