Gibson, David Evan
Gibson, David Evan is an individual health care provider with primary practice located at 34515 9Th Ave S , Federal Way WA 98003-6761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gibson, David Evan can be contacted via phone (253) 952-7971.Contact Information
Primary practice address
34515 9Th Ave S
Federal Way WA 98003-6761
Phone: (253) 952-7971
Fax: (253) 944-7922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00023338 | Washington |
Profile Details
| NPI number | 1659317964 |
|---|---|
| LBN Legal business name | Gibson, David Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 7th, 2008 - about 16 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 | 1659317964 | NPPES |
| Washington | Other | 0170811 | LIWA |
| Washington | MEDICAID | 8150021 | LIWA |
| Washington | Other | 0170832 | LIWA |
| Washington | Other | GI4108 | LIWA |
| Washington | Other | GI4119 | LIWA |
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