Provider Demographics
NPI:1477558427
Name:HUSBAND, GEORGE GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GILBERT
Last Name:HUSBAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 NORTON RD
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-9454
Mailing Address - Country:US
Mailing Address - Phone:707-839-3177
Mailing Address - Fax:206-339-7239
Practice Address - Street 1:2151 NORTON RD
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-9454
Practice Address - Country:US
Practice Address - Phone:707-839-3177
Practice Address - Fax:206-339-7239
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21850208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00184554OtherRAILROAD MEDICARE PIN
CA00A218500Medicare ID - Type Unspecified
CAA22799Medicare UPIN