Gibson, Earl

Gibson, Earl is an sole proprietor health care provider with primary practice located at 26421 Pepperwood Ln , San Juan Capistrano CA 92675-1133. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gibson, Earl can be contacted via phone (860) 309-2092.

Contact Information

Primary practice address
26421 Pepperwood Ln San Juan Capistrano CA 92675-1133
Phone: (860) 309-2092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 016854074 Connecticut

Profile Details

NPI number 1982840112
LBN Legal business name Gibson, Earl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2008
Last updated Dec 17th, 2008 - about 18 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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