Gibson, Nicole Marie
Gibson, Nicole Marie is an sole proprietor health care provider with primary practice located at 321 W Onondaga St , Syracuse NY 13202-3207. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Gibson, Nicole Marie can be contacted via phone (315) 478-0610.Contact Information
Primary practice address
321 W Onondaga St
Syracuse NY 13202-3207
Phone: (315) 478-0610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 31404 | New York |
Profile Details
| NPI number | 1114438611 |
|---|---|
| LBN Legal business name | Gibson, Nicole Marie |
| Credentials | CASAC-T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2017 |
| Last updated | Oct 24th, 2017 - about 9 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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