Gibson, Stacey J
Gibson, Stacey J is an individual health care provider with primary practice located at 2030 Thistle Hill Dr Ste 100 , Spring Grove PA 17362-1160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gibson, Stacey J can be contacted via phone (717) 225-9869.Contact Information
Primary practice address
2030 Thistle Hill Dr Ste 100
Spring Grove PA 17362-1160
Phone: (717) 225-9869
Fax: (717) 225-6552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA055299 | Pennsylvania |
Profile Details
| NPI number | 1376820340 |
|---|---|
| LBN Legal business name | Gibson, Stacey J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2011 |
| Last updated | Jan 2nd, 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.
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