Jacob B Gibson in Moraine - Nuclear Cardiology
Jacob B Gibson - NPI 1780698811
Jacob B Gibson is a Nuclear Cardiology in Moraine, Ohio. Jacob B Gibson practices all healthcare services and medical treatments related to Nuclear Cardiology. 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 | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
| Licence No | 34008573 |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
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 Nuclear Cardiology, and the corresponding taxonomy classification code for this specialized field is 207Un0901X.
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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