Provider Demographics
NPI:1609008507
Name:DR. GILBERTINIS HOME CARE PLLC
Entity Type:Organization
Organization Name:DR. GILBERTINIS HOME CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIBERTINI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-277-9857
Mailing Address - Street 1:4065 N BOULDER CYN
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-0968
Mailing Address - Country:US
Mailing Address - Phone:480-277-9857
Mailing Address - Fax:
Practice Address - Street 1:4065 N BOULDER CYN
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-0968
Practice Address - Country:US
Practice Address - Phone:480-277-9857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty