Gibson, Mike W
Gibson, Mike W is an sole proprietor health care provider with primary practice located at 617 N Ebrite St , Mesquite TX 75149-3453. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Gibson, Mike W can be contacted via phone (972) 850-9945.Contact Information
Primary practice address
617 N Ebrite St
Mesquite TX 75149-3453
Phone: (972) 850-9945
Fax: (866) 496-5016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 804211277 | Texas |
Profile Details
| NPI number | 1003588427 |
|---|---|
| LBN Legal business name | Gibson, Mike W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2021 |
| Last updated | Oct 4th, 2021 - about 5 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 | 1003588427 | NPPES |
| Texas | MEDICAID | 1326388711 |
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