Gibson, Christopher Frank

Gibson, Christopher Frank is an individual health care provider with primary practice located at 401 E Highland Ave Suite 251, San Bernardino CA 92404-3803. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gibson, Christopher Frank can be contacted via phone (909) 881-1614.

Contact Information

Primary practice address
401 E Highland Ave Suite 251 San Bernardino CA 92404-3803
Phone: (909) 881-1614
Fax: (909) 881-2711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G45993 California

Profile Details

NPI number 1952336638
LBN Legal business name Gibson, Christopher Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 28th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952336638 NPPES
Other 00G459932 MEDICARE INDIVIDUAL PTAN
MEDICAID 00G459930 MEDICARE INDIVIDUAL PTAN
Other G45993 MEDICARE INDIVIDUAL PTAN
Other ZZZ07161Z MEDICARE INDIVIDUAL PTAN

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