Healthcare Provider Details

I. General information

NPI: 1982876181
Provider Name (Legal Business Name): GILBERT A. ALBER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N PARK PL
CRESCO IA
52136-1631
US

IV. Provider business mailing address

110 N PARK PL PO BOX 195
CRESCO IA
52136-1631
US

V. Phone/Fax

Practice location:
  • Phone: 563-547-1779
  • Fax: 563-547-9914
Mailing address:
  • Phone: 563-547-1779
  • Fax: 563-547-9914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number05516
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierI8011
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerMEDICARE

VIII. Authorized Official

Name: MS. ELLEN ADELE ALBER
Title or Position: OFFICE STAFF
Credential:
Phone: 563-547-1779