Gibson, Emily Marion

Gibson, Emily Marion is an sole proprietor health care provider with primary practice located at 815 Freeport Rd , Pittsburgh PA 15215-3301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Gibson, Emily Marion can be contacted via phone (412) 784-5374.

Contact Information

Primary practice address
815 Freeport Rd Pittsburgh PA 15215-3301
Phone: (412) 784-5374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MA057964 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Pennsylvania

Profile Details

NPI number 1093181463
LBN Legal business name Gibson, Emily Marion
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Nov 17th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093181463 NPPES
Pennsylvania MEDICAID 1031098860001

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