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:
Health care specialties
| Specialty | Code | License # | 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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