Jacob B Gibson in Moraine - Internal Medicine
Jacob B Gibson - NPI 1780698811
Jacob B Gibson is a Internal Medicine in Moraine, Ohio. Jacob B Gibson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jacob B Gibson is 1780698811. The last update date is 2022-03-22.
Jacob B Gibson's current location address is 3170 Kettering Blvd Bldg B, Moraine, Ohio. You can contact this provider via phone number 9379913188 and fax number 9372239811. The mailing address for Jacob B Gibson is 3170 Kettering Blvd Bldg B, Moraine, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob B Gibson |
|---|---|
| Address | 3170 Kettering Blvd Bldg B, Moraine, Ohio |
| Phone Number | 9379913188 |
| Fax Number | 9372239811 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1780698811 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 3170 Kettering Blvd Bldg B |
|---|---|
| City | Moraine |
| State | Ohio (OH) |
| Post Code | 454391924 |
| Phone Number | 9379913188 |
| Fax Number | 9372239811 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 34-00-8573 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2598836 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacob B Gibson by the Centers for Medicare & Medicaid Services (CMS)?
The Jacob B Gibson has been assigned the NPI (National Provider Identifier) 1780698811. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jacob B Gibson is geographically located?
The Jacob B Gibson is physically situated at the following location: 3170 Kettering Blvd Bldg B, Moraine, OH, 454391924.
What is Jacob B Gibson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacob B Gibson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780698811 to Jacob B Gibson?
The Jacob B Gibson received its 1780698811 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information regarding Jacob B Gibson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacob B Gibson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-22.
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