Gibson, Shonda
Gibson, Shonda is an sole proprietor health care provider with primary practice located at 2166 Crane Ave , Cincinnati OH 45207-1321. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gibson, Shonda can be contacted via phone (513) 307-7424.Contact Information
Primary practice address
2166 Crane Ave
Cincinnati OH 45207-1321
Phone: (513) 307-7424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | SD661078 | Ohio |
Profile Details
| NPI number | 1609434828 |
|---|---|
| LBN Legal business name | Gibson, Shonda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2019 |
| Last updated | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609434828 | NPPES |
| Ohio | MEDICAID | 0205505 |
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