Gibson, Emma

Gibson, Emma is an individual health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gibson, Emma can be contacted via phone (414) 328-8150.

Contact Information

Primary practice address
2424 S 90Th St West Allis WI 53227-2455
Phone: (414) 328-8150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 70233 Wisconsin

Profile Details

NPI number 1538690078
LBN Legal business name Gibson, Emma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Nov 16th, 2022 - about 4 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 1538690078 NPPES
Wisconsin MEDICAID 100083087

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