Doctor Name: | DR. ALAN R GILBERT |
NPI Number: | 1215961677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 01021154 |
Business Practice Address: | 10620 Corporate Dr Ste A Fort Wayne, IN - 468451711 |
Business Phone Number: | 2604232567 |
Business Fax Number: | 2604202415 |
Mailing Address: | 10620 Corporate Dr Ste A, FORT WAYNE |
State: | IN |
Postal Code: | 468451711 |
Phone Number: | 2604232567 |
Fax Number: | 2604202415 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01021154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |