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Contact Information

SHEILA O GIBBENS, PA-C
820 PASEO DEPERLTA
SANTA FE, NM87501-2233
 Phone: 505-467-1575
 Fax: 505-467-1577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHEILA O GIBBENS · (Female)

NPI Number 1639192792
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2002-0013
  • NM Medicaid 64985768
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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