Gibbons, Pamela R
Gibbons, Pamela R is an sole proprietor health care provider with primary practice located at 1 University Dr , Orange CA 92866-1005. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gibbons, Pamela R can be contacted via phone (714) 997-6640.Contact Information
Primary practice address
1 University Dr
Orange CA 92866-1005
Phone: (714) 997-6640
Fax: (714) 744-2161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1285811935 |
|---|---|
| LBN Legal business name | Gibbons, Pamela R |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Jan 24th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285811935 | NPPES |
| Other | 860020 | NATA |
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