Gibson, Christopher Michael
Gibson, Christopher Michael is an individual health care provider with primary practice located at 2045 Holton Rd , Muskegon MI 49445-1535. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gibson, Christopher Michael can be contacted via phone (231) 744-0077.Contact Information
Primary practice address
2045 Holton Rd
Muskegon MI 49445-1535
Phone: (231) 744-0077
Fax: (231) 744-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1497878052 |
|---|---|
| LBN Legal business name | Gibson, Christopher Michael |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Jun 11th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497878052 | NPPES |
| Michigan | Other | 30669 | BLUE CROSS & BLUE SHIELD |
| Michigan | MEDICAID | 4717630 | BLUE CROSS & BLUE SHIELD |
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