Gibbs, Deonte Alonzo
Gibbs, Deonte Alonzo is an sole proprietor health care provider with primary practice located at 2428 N Grandview Blvd Ste 102 , Waukesha WI 53188-6906. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Gibbs, Deonte Alonzo can be contacted via phone (262) 875-4521.Contact Information
Primary practice address
2428 N Grandview Blvd Ste 102
Waukesha WI 53188-6906
Phone: (262) 875-4521
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 239054-30 | Wisconsin |
Profile Details
| NPI number | 1790428357 |
|---|---|
| LBN Legal business name | Gibbs, Deonte Alonzo |
| Credentials | MN-CNL, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2022 |
| Last updated | Apr 20th, 2022 - about 2 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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