Gibson, Thiago

Gibson, Thiago is an individual health care provider with primary practice located at 2101 Medical Park Dr Ste 300 , Silver Spring MD 20902-4053. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gibson, Thiago can be contacted via phone (301) 802-6493.

Contact Information

Primary practice address
2101 Medical Park Dr Ste 300 Silver Spring MD 20902-4053
Phone: (301) 802-6493
Fax: (844) 772-9186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R197629 Maryland

Profile Details

NPI number 1356894596
LBN Legal business name Gibson, Thiago
Credentials CRNP-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2016
Last updated Dec 8th, 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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