Gibbs, Cody J.

Gibbs, Cody J. is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gibbs, Cody J. can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017218 Illinois

Profile Details

NPI number 1205335510
LBN Legal business name Gibbs, Cody J.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2018
Last updated Apr 13th, 2021 - about 5 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 1205335510 NPPES
Illinois Other 209017218 APN LICENSE

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