Gibson, Brandon

Gibson, Brandon is an sole proprietor health care provider with primary practice located at 112 E 5Th Ave , Antigo WI 54409-2710. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is his primary health care specialty. Gibson, Brandon can be contacted via phone (715) 623-9449.

Contact Information

Primary practice address
112 E 5Th Ave Antigo WI 54409-2710
Phone: (715) 623-9449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501020235 Michigan
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1841952801
LBN Legal business name Gibson, Brandon
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2021
Last updated Feb 18th, 2022 - about 3 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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