Provider Demographics
NPI:1982876181
Name:GILBERT A. ALBER PC
Entity type:Organization
Organization Name:GILBERT A. ALBER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:ALBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-547-1779
Mailing Address - Street 1:110 N PARK PL
Mailing Address - Street 2:PO BOX 195
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1631
Mailing Address - Country:US
Mailing Address - Phone:563-547-1779
Mailing Address - Fax:563-547-9914
Practice Address - Street 1:110 N PARK PL
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1631
Practice Address - Country:US
Practice Address - Phone:563-547-1779
Practice Address - Fax:563-547-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05516104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI8011OtherMEDICARE