Gibbs, Susan J
Gibbs, Susan J is an individual health care provider with primary practice located at 13417 Us Highway 301 Ste B, Dade City FL 33525-5446. 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, Susan J can be contacted via phone (352) 521-3967.Contact Information
Primary practice address
13417 Us Highway 301 Ste B
Dade City FL 33525-5446
Phone: (352) 521-3967
Fax: (813) 355-5028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9303680 | Florida |
Profile Details
| NPI number | 1639572373 |
|---|---|
| LBN Legal business name | Gibbs, Susan J |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2014 |
| Last updated | Apr 26th, 2016 - about 8 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 | 1639572373 | NPPES |
| Florida | Other | UAZQS | BC/BS FLORIDA BLUE |
| Florida | Other | P01624167 | BC/BS FLORIDA BLUE |
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