Gibbons, Sandra L.

Gibbons, Sandra L. is an sole proprietor health care provider with primary practice located at 120 Madison Street , Oriskany Falls NY 13425. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gibbons, Sandra L. can be contacted via phone (315) 292-1623.

Contact Information

Primary practice address
120 Madison Street Oriskany Falls NY 13425
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 251214 New York

Profile Details

NPI number 1235338815
LBN Legal business name Gibbons, Sandra L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 18 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 1235338815 NPPES
New York MEDICAID 01907955

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