Gibson, Matthew Eugene
Gibson, Matthew Eugene is an individual health care provider with primary practice located at 10060 Regency Cir , Omaha NE 68114-3732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gibson, Matthew Eugene can be contacted via phone (402) 354-1325.Contact Information
Primary practice address
10060 Regency Cir
Omaha NE 68114-3732
Phone: (402) 354-1325
Fax: (402) 354-1301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29196 | Nebraska |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6987 | Nebraska |
Profile Details
| NPI number | 1366881187 |
|---|---|
| LBN Legal business name | Gibson, Matthew Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2013 |
| Last updated | Jul 12th, 2016 - about 10 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 | 1366881187 | NPPES |
| Iowa | MEDICAID | 1366881187 | |
| Iowa | MEDICAID | 10225837400 | |
| Iowa | MEDICAID | 47068731742 |
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