Gibson, Charles
Gibson, Charles is an sole proprietor health care provider with primary practice located at 2425 Zero St , Fort Smith AR 72901-8663. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gibson, Charles can be contacted via phone (479) 649-5900.Contact Information
Primary practice address
2425 Zero St
Fort Smith AR 72901-8663
Phone: (479) 649-5900
Fax: (479) 649-6724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2069 | Arkansas |
Profile Details
| NPI number | 1972673432 |
|---|---|
| LBN Legal business name | Gibson, Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972673432 | NPPES |
| Other | 47859 | ARKANSAS BCBS | |
| Other | 07225 | ARKANSAS BCBS | |
| Other | 26766 | ARKANSAS BCBS | |
| Other | 56908 | ARKANSAS BCBS | |
| Other | 923045 | ARKANSAS BCBS | |
| Other | 38855 | ARKANSAS BCBS | |
| Other | 041012 | ARKANSAS BCBS | |
| Other | 1454016 | ARKANSAS BCBS | |
| Other | 47678 | ARKANSAS BCBS | |
| Other | 710739595001 | ARKANSAS BCBS |
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