Gibson, Rada
Gibson, Rada is an individual health care provider with primary practice located at 10018 Kennerly Rd , Saint Louis MO 63128-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gibson, Rada can be contacted via phone (314) 525-7275.Contact Information
Primary practice address
10018 Kennerly Rd
Saint Louis MO 63128-2106
Phone: (314) 525-7275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2014007149 | Missouri |
Profile Details
| NPI number | 1508397910 |
|---|---|
| LBN Legal business name | Gibson, Rada |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Dec 13th, 2019 - about 7 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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