Gibson, Samantha L
Gibson, Samantha L is an individual health care provider with primary practice located at 2108 Mockingbird Ln , Portales NM 88130-7195. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gibson, Samantha L can be contacted via phone (865) 242-9722.Contact Information
Primary practice address
2108 Mockingbird Ln
Portales NM 88130-7195
Phone: (865) 242-9722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1447719323 |
|---|---|
| LBN Legal business name | Gibson, Samantha L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2019 |
| Last updated | Mar 19th, 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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