George W Gibson Do Pc

LBN: George W Gibson Do Pc
George W Gibson Do Pc is an health care organization with primary practice located at 15201 W Mcnichols Rd , Detroit MI 48235-3717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. George W Gibson Do Pc can be contacted via phone (313) 930-0242, or through Gibson, George W via phone (313) 930-0242.

Contact Information

Primary practice address
15201 W Mcnichols Rd Detroit MI 48235-3717
Phone: (313) 930-0242
Fax: (734) 451-0603
Website:
Map and Directions
Authorized official contact:
Name: Gibson, George W Doctor of Medicine (MD)
Phone: (313) 930-0242

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101006424 Michigan

Profile Details

NPI number 1912264045
LBN Legal business name George W Gibson Do Pc
DBA Doing business as
Authorized official Gibson, George W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2012
Last updated Apr 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912264045 NPPES
Michigan Other 5101006424 PENDING

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