Gibson, David Benjamin

Gibson, David Benjamin is an individual health care provider with primary practice located at 2996 Kate Bond Rd Suite 309, Bartlett TN 38133-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gibson, David Benjamin can be contacted via phone (901) 726-1056.

Contact Information

Primary practice address
2996 Kate Bond Rd Suite 309 Bartlett TN 38133-4030
Phone: (901) 726-1056
Fax: (901) 726-5867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40059 Tennessee

Profile Details

NPI number 1114037306
LBN Legal business name Gibson, David Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 12th, 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 1114037306 NPPES
Tennessee MEDICAID 3334090
Tennessee Other P00322634

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