Gibson, Charles F

Gibson, Charles F is an individual health care provider with primary practice located at 210 E Milltown Rd Ste B , Wooster OH 44691-1200. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gibson, Charles F can be contacted via phone (330) 345-0955.

Contact Information

Primary practice address
210 E Milltown Rd Ste B Wooster OH 44691-1200
Phone: (330) 345-0955
Fax: (330) 345-3420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3370 Ohio

Profile Details

NPI number 1528028073
LBN Legal business name Gibson, Charles F
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 10th, 2020 - about 4 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 1528028073 NPPES
Ohio MEDICAID 0630893

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