Gibson, Mark H

Gibson, Mark H is an sole proprietor health care provider with primary practice located at 1725 State St Univ. Of Wisconsin - La Crosse, La Crosse WI 54601-3742. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gibson, Mark H can be contacted via phone (608) 785-8190.

Contact Information

Primary practice address
1725 State St Univ. Of Wisconsin - La Crosse La Crosse WI 54601-3742
Phone: (608) 785-8190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4707-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X 404-039 Wisconsin

Profile Details

NPI number 1679646749
LBN Legal business name Gibson, Mark H
Credentials LAT, PT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jun 17th, 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.

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