Gibbons, John E.

Gibbons, John E. is an sole proprietor health care provider with primary practice located at 8 Cypress Creek Rd , Severna Park MD 21146-4050. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gibbons, John E. can be contacted via phone (410) 544-8507.

Contact Information

Primary practice address
8 Cypress Creek Rd Severna Park MD 21146-4050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02253 Maryland

Profile Details

NPI number 1487864807
LBN Legal business name Gibbons, John E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jun 16th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487864807 NPPES
Maryland Other 0 - G463 - JE - 62 BLUE CROSS - BLUE SHIELD
Maryland Other S094 - 0001 BLUE CROSS - BLUE SHIELD

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