Gibson, Mark E
Gibson, Mark E is an individual health care provider with primary practice located at 1229 Madison St Suite 1440, Seattle WA 98104-3586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gibson, Mark E can be contacted via phone (206) 625-0578.Contact Information
Primary practice address
1229 Madison St Suite 1440
Seattle WA 98104-3586
Phone: (206) 625-0578
Fax: (206) 625-9184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00025953 | Washington |
Profile Details
| NPI number | 1063562825 |
|---|---|
| LBN Legal business name | Gibson, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 14th, 2008 - about 17 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 | 1063562825 | NPPES |
| Washington | MEDICAID | 8305641 |
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