Gibson, Deboorah A
Gibson, Deboorah A is an sole proprietor health care provider with primary practice located at 28131 Newberry Trail , Lindstrom MN 55045. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Gibson, Deboorah A can be contacted via phone (651) 657-3684.Contact Information
Primary practice address
28131 Newberry Trail
Lindstrom MN 55045
Phone: (651) 657-3684
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 1020292-1-AFC | Minnesota |
Profile Details
| NPI number | 1780844613 |
|---|---|
| LBN Legal business name | Gibson, Deboorah A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Jun 13th, 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 | 1780844613 | NPPES |
| Minnesota | Other | 49-80610 | MEDICA |
| Minnesota | Other | 161648 | MEDICA |
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