Gibson, Darryl Richard

Gibson, Darryl Richard is an sole proprietor health care provider with primary practice located at 42 Parsonage Rd , Edison NJ 08837-2416. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Gibson, Darryl Richard can be contacted via phone (732) 494-6387.

Contact Information

Primary practice address
42 Parsonage Rd Edison NJ 08837-2416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 25MG00069200 New Jersey

Profile Details

NPI number 1184768046
LBN Legal business name Gibson, Darryl Richard
Credentials HEARING AID DISPENSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1184768046 NPPES
New Jersey MEDICAID 6910807

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