Provider Demographics
NPI:1023227857
Name:DAVID GILBOE & ASSOCIATES, INC.
Entity type:Organization
Organization Name:DAVID GILBOE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBOE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-779-8892
Mailing Address - Street 1:23161 GREATER MACK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1956
Mailing Address - Country:US
Mailing Address - Phone:586-779-8892
Mailing Address - Fax:586-779-2869
Practice Address - Street 1:23161 GREATER MACK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1956
Practice Address - Country:US
Practice Address - Phone:586-779-8892
Practice Address - Fax:586-779-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0831690001Medicare NSC