Gibson, Allen Wayne

Gibson, Allen Wayne is an individual health care provider with primary practice located at 701 8Th Ave Nw Suite A, Aberdeen SD 57401-1803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gibson, Allen Wayne can be contacted via phone (605) 226-2663.

Contact Information

Primary practice address
701 8Th Ave Nw Suite A Aberdeen SD 57401-1803
Phone: (605) 226-2663
Fax: (605) 226-0095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0350 South Dakota

Profile Details

NPI number 1205836384
LBN Legal business name Gibson, Allen Wayne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1205836384 NPPES
South Dakota MEDICAID 6825710

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