Gibson, Anita Lasheryl

Gibson, Anita Lasheryl is an individual health care provider with primary practice located at 108 Bankside Dr , Canton MS 39046-5039. She recently has only one registered license in Other Service Providers / Vehicle Modifications, which is considered as her primary health care specialty. Gibson, Anita Lasheryl can be contacted via phone (314) 456-9566.

Contact Information

Primary practice address
108 Bankside Dr Canton MS 39046-5039
Phone: (314) 456-9566
Fax: (601) 790-9759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Vehicle Modifications 171WV0202X Mississippi

Profile Details

NPI number 1770210718
LBN Legal business name Gibson, Anita Lasheryl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 4 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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