Gibson, William Robert

Gibson, William Robert is an individual health care provider with primary practice located at 1705 Tarboro St Sw , Wilson NC 27893-3428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gibson, William Robert can be contacted via phone (252) 399-8040.

Contact Information

Primary practice address
1705 Tarboro St Sw Wilson NC 27893-3428
Phone: (252) 399-8040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704215191 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54459 North Carolina

Profile Details

NPI number 1184603573
LBN Legal business name Gibson, William Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184603573 NPPES
Michigan MEDICAID 4510719
Michigan Other WG215191

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