Gibson, Delores Darlene
Gibson, Delores Darlene is an sole proprietor health care provider with primary practice located at 810 Bradwell Dr , Columbus OH 43207-4160. She recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as her primary health care specialty. Gibson, Delores Darlene can be contacted via phone (614) 491-4141.Contact Information
Primary practice address
810 Bradwell Dr
Columbus OH 43207-4160
Phone: (614) 491-4141
Fax: (614) 409-2722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 2149320 | Ohio |
Profile Details
| NPI number | 1205961067 |
|---|---|
| LBN Legal business name | Gibson, Delores Darlene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205961067 | NPPES |
| Ohio | Other | 2149320 | INDEPENDENT PROVIDER |
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