Gibbs, Mary M
Gibbs, Mary M is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 1500, Huntington WV 25701-3656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibbs, Mary M can be contacted via phone (304) 691-1100.Contact Information
Primary practice address
1600 Medical Center Dr Suite 1500
Huntington WV 25701-3656
Phone: (304) 691-1100
Fax: (304) 691-1183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 57852 | West Virginia |
Profile Details
| NPI number | 1891756953 |
|---|---|
| LBN Legal business name | Gibbs, Mary M |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 24th, 2021 - about 3 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 | 1891756953 | NPPES |
| West Virginia | MEDICAID | 7102005000 | |
| West Virginia | MEDICAID | 78009669 | |
| West Virginia | MEDICAID | 2462866 |
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