Provider Demographics
NPI:1356583918
Name:GEBERT, ANGELA ROBBINS
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:ROBBINS
Last Name:GEBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 BRISTERS SPRING RUN
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-6208
Mailing Address - Country:US
Mailing Address - Phone:260-416-4623
Mailing Address - Fax:260-748-7877
Practice Address - Street 1:5436 OLD MAUMEE RD
Practice Address - Street 2:UNIT 1
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46803-1713
Practice Address - Country:US
Practice Address - Phone:260-748-7711
Practice Address - Fax:260-748-7877
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-28
Last Update Date:2009-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies