Gibson, Antonio L
Gibson, Antonio L is an individual health care provider with primary practice located at 594 Geronimo Dr , Greenfield IN 46140-9375. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Vehicle Modifications, Other Service Providers / Driver. Other Service Providers / Vehicle Modifications is his primary health care specialty. Gibson, Antonio L can be contacted via phone (317) 413-8137.Contact Information
Primary practice address
594 Geronimo Dr
Greenfield IN 46140-9375
Phone: (317) 413-8137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Vehicle Modifications | 171WV0202X | 202303151673406 | Indiana |
| Other Service Providers / Driver | 172A00000X | 202303151673406 | Indiana |
Profile Details
| NPI number | 1508624016 |
|---|---|
| LBN Legal business name | Gibson, Antonio L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2024 |
| Last updated | Mar 14th, 2024 - about 8 months 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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