Provider Demographics
NPI:1013485465
Name:GIBBS, SHEENA (PHARMACEUTICAL SALES)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:GIBBS
Suffix:
Gender:F
Credentials:PHARMACEUTICAL SALES
Other - Prefix:
Other - First Name:DPGUNLIMITED
Other - Middle Name:
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACEUTICAL SALES
Mailing Address - Street 1:5953 N KENMORE AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3686
Mailing Address - Country:US
Mailing Address - Phone:773-676-3040
Mailing Address - Fax:
Practice Address - Street 1:5953 N KENMORE AVE APT 205
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3686
Practice Address - Country:US
Practice Address - Phone:773-676-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker