Gibson, Alice S.

Gibson, Alice S. is an individual health care provider with primary practice located at 1600 Pacific Ave , Natrona Heights PA 15065-2138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gibson, Alice S. can be contacted via phone (724) 224-3900.

Contact Information

Primary practice address
1600 Pacific Ave Natrona Heights PA 15065-2138
Phone: (724) 224-3900
Fax: (724) 224-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD025890E Pennsylvania

Profile Details

NPI number 1467455626
LBN Legal business name Gibson, Alice S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1467455626 NPPES
Pennsylvania MEDICAID 0009147300001

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