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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891756953 NPPES
West Virginia MEDICAID 7102005000
West Virginia MEDICAID 78009669
West Virginia MEDICAID 2462866

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