Gibson, Brad

Gibson, Brad is an sole proprietor health care provider with primary practice located at 10552 Success Ln Ste L , Centerville OH 45458-3664. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gibson, Brad can be contacted via phone (937) 280-5711.

Contact Information

Primary practice address
10552 Success Ln Ste L Centerville OH 45458-3664
Phone: (937) 280-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0029637 Ohio

Profile Details

NPI number 1205449261
LBN Legal business name Gibson, Brad
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Jan 24th, 2024 - about 2 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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