Freeman-Gibb, Laurie Anne

Freeman-Gibb, Laurie Anne is an individual health care provider with primary practice located at 4100 John R St Walt Cbc Karmanos Cc, Detroit MI 48201-2013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Freeman-Gibb, Laurie Anne can be contacted via phone (313) 576-8694.

Contact Information

Primary practice address
4100 John R St Walt Cbc Karmanos Cc Detroit MI 48201-2013
Phone: (313) 576-8694
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704163706 Michigan

Profile Details

NPI number 1699756213
LBN Legal business name Freeman-Gibb, Laurie Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699756213 NPPES
Michigan Other 50-0-86-6521-0 BCBS

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