Gibson, Dean

Gibson, Dean is an individual health care provider with primary practice located at 216 Anamaria Dr , Rapid City SD 57701-7366. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gibson, Dean can be contacted via phone (605) 721-0337.

Contact Information

Primary practice address
216 Anamaria Dr Rapid City SD 57701-7366
Phone: (605) 721-0337
Fax: (505) 721-0043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R023763 South Dakota

Profile Details

NPI number 1801881289
LBN Legal business name Gibson, Dean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - 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 1801881289 NPPES
South Dakota MEDICAID 5750265

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