Gibbs, Marilyn Achille

Gibbs, Marilyn Achille is an individual health care provider with primary practice located at 7440 Pacific Ave , Tacoma WA 98408-7117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gibbs, Marilyn Achille can be contacted via phone (253) 475-0511.

Contact Information

Primary practice address
7440 Pacific Ave Tacoma WA 98408-7117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00025090 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00025090 Washington

Profile Details

NPI number 1235147653
LBN Legal business name Gibbs, Marilyn Achille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 15th, 2020 - about 4 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 1235147653 NPPES
Washington Other GI0004 REGENCE BS PROV#
Washington Other 0185265 REGENCE BS PROV#
Washington MEDICAID 8133985 REGENCE BS PROV#

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