Gibson, David Benjamin
Gibson, David Benjamin is an individual health care provider with primary practice located at 2996 Kate Bond Rd Suite 309, Bartlett TN 38133-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gibson, David Benjamin can be contacted via phone (901) 726-1056.Contact Information
Primary practice address
2996 Kate Bond Rd Suite 309
Bartlett TN 38133-4030
Phone: (901) 726-1056
Fax: (901) 726-5867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40059 | Tennessee |
Profile Details
| NPI number | 1114037306 |
|---|---|
| LBN Legal business name | Gibson, David Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 12th, 2007 - about 19 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 | 1114037306 | NPPES |
| Tennessee | MEDICAID | 3334090 | |
| Tennessee | Other | P00322634 |
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