Gibson, Daniel L

Gibson, Daniel L is an individual health care provider with primary practice located at 3308 W Edgewood Dr Suite B, Jefferson City MO 65109-6891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibson, Daniel L can be contacted via phone (573) 893-7848.

Contact Information

Primary practice address
3308 W Edgewood Dr Suite B Jefferson City MO 65109-6891
Phone: (573) 893-7848
Fax: (573) 893-1984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000169649 Missouri

Profile Details

NPI number 1699748772
LBN Legal business name Gibson, Daniel L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jun 28th, 2012 - about 12 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 1699748772 NPPES
Other 440546366 UNITED HEALTCARE
Other 174322 UNITED HEALTCARE
MEDICAID 245920210 UNITED HEALTCARE
Other 2623345 UNITED HEALTCARE
Other 534157 UNITED HEALTCARE
Other P00026725 UNITED HEALTCARE
Other H70166 UNITED HEALTCARE
Other 2095433 UNITED HEALTCARE

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