Gibson, Autumn Suzanne
Gibson, Autumn Suzanne is an individual health care provider with primary practice located at 31950 23 Mile Rd , Chesterfield MI 48047-4655. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gibson, Autumn Suzanne can be contacted via phone (586) 228-9991.Contact Information
Primary practice address
31950 23 Mile Rd
Chesterfield MI 48047-4655
Phone: (586) 228-9991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1730729153 |
|---|---|
| LBN Legal business name | Gibson, Autumn Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Jan 14th, 2020 - about 5 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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