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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528028073 | NPPES |
Ohio | MEDICAID | 0630893 |
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