Gibson, Dolinda H. M.

Gibson, Dolinda H. M. is an individual health care provider with primary practice located at 902 Lakeview Ave , Pueblo CO 81004-3597. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gibson, Dolinda H. M. can be contacted via phone (719) 560-5855.

Contact Information

Primary practice address
902 Lakeview Ave Pueblo CO 81004-3597
Phone: (719) 560-5855
Fax: (719) 560-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1611 Colorado

Profile Details

NPI number 1467461467
LBN Legal business name Gibson, Dolinda H. M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated May 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467461467 NPPES
Colorado MEDICAID 75283379

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