Gibbon, Lawrence Kay

Gibbon, Lawrence Kay is an sole proprietor health care provider with primary practice located at 185 W 4Th Avenue Suite B, Post Falls ID 83854-7298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibbon, Lawrence Kay can be contacted via phone (208) 773-1592.

Contact Information

Primary practice address
185 W 4Th Avenue Suite B Post Falls ID 83854-7298
Phone: (208) 773-1592
Fax: (208) 773-9764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M4193 Idaho

Profile Details

NPI number 1053465559
LBN Legal business name Gibbon, Lawrence Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Apr 27th, 2009 - about 15 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 1053465559 NPPES
Idaho Other 080002699 RAILROAD MDC
Idaho Other 41939 RAILROAD MDC
Idaho MEDICAID 0007628 RAILROAD MDC
Idaho Other 000010006362 RAILROAD MDC

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