Provider Demographics
NPI:1255525481
Name:GILBHRIGHDE, GLEYNORA JEANE (DO)
Entity type:Individual
Prefix:DR
First Name:GLEYNORA
Middle Name:JEANE
Last Name:GILBHRIGHDE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2230
Mailing Address - Country:US
Mailing Address - Phone:304-466-1243
Mailing Address - Fax:304-466-6050
Practice Address - Street 1:115 SUMMERS HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951
Practice Address - Country:US
Practice Address - Phone:304-466-2918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA116019833207R00000X
DCDO034329207RH0002X
WV2578207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine