Gibree, Misty Angel
Gibree, Misty Angel is an individual health care provider with primary practice located at 111 9Th St S , Fargo ND 58103-1831. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Gibree, Misty Angel can be contacted via phone (701) 212-8626.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | North Dakota |
Profile Details
| NPI number | 1447837711 |
|---|---|
| LBN Legal business name | Gibree, Misty Angel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2021 |
| Last updated | Mar 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 | 1447837711 | NPPES |
| North Dakota | MEDICAID | 347C0000X | |
| North Dakota | MEDICAID | 251S00000X | |
| North Dakota | MEDICAID | 251B00000X |
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