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Contact Information

JOSEPH T GIBBONS, OD
120 NORTH MAIN ST
CAMBRIDGE, MN55008
 Phone: 763-689-1441
 Fax: 763-689-3925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOSEPH T GIBBONS · (Male)

NPI Number 1831182062
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/23/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 1978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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