Gibbs, Mary Ann
Gibbs, Mary Ann is an individual health care provider with primary practice located at 45 N Holladay Dr , Seaside OR 97138. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gibbs, Mary Ann can be contacted via phone (503) 738-7343.Contact Information
Primary practice address
45 N Holladay Dr
Seaside OR 97138
Phone: (503) 738-7343
Fax: (503) 738-9946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 272517 | Oregon |
Profile Details
| NPI number | 1649301052 |
|---|---|
| LBN Legal business name | Gibbs, Mary Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Nov 3rd, 2011 - about 13 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 | 1649301052 | NPPES |
| Oregon | MEDICAID | 076711 | |
| Oregon | Other | 862925002 |
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