Gibbon, Shelly Marie

Gibbon, Shelly Marie is an sole proprietor health care provider with primary practice located at 6116 Anne Marie Ct , West Bend WI 53095-9167. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gibbon, Shelly Marie can be contacted via phone (262) 629-5190.

Contact Information

Primary practice address
6116 Anne Marie Ct West Bend WI 53095-9167
Phone: (262) 629-5190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X 132870-30 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 132870-30 Wisconsin
Nursing Service Providers / Home Health 163WH0200X 132870-30 Wisconsin

Profile Details

NPI number 1285930818
LBN Legal business name Gibbon, Shelly Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2011
Last updated Feb 1st, 2011 - about 13 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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