Gibbons, Michael Charles

Gibbons, Michael Charles is an individual health care provider with primary practice located at 2480 Liberty St Ne , Salem OR 97303-6780. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Gibbons, Michael Charles can be contacted via phone (503) 763-3525.

Contact Information

Primary practice address
2480 Liberty St Ne Salem OR 97303-6780
Phone: (503) 763-3525
Fax: (503) 763-3526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 0979 Oregon

Profile Details

NPI number 1659352441
LBN Legal business name Gibbons, Michael Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 20th, 2013 - about 12 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 1659352441 NPPES
Oregon Other 5467820001 MEDICARE DME NUMBER
Oregon MEDICAID 227892 MEDICARE DME NUMBER

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