Gibson, Eric

Gibson, Eric is an individual health care provider with primary practice located at 1600 Rockland Road Provider Enrollment Dept, Wilmington DE 19732-0191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Gibson, Eric can be contacted via phone (302) 651-6212.

Contact Information

Primary practice address
1600 Rockland Road Provider Enrollment Dept Wilmington DE 19732-0191
Phone: (302) 651-6212
Fax: (302) 651-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME127936 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME127936 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD032476E Pennsylvania

Profile Details

NPI number 1467537548
LBN Legal business name Gibson, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 6th, 2017 - about 7 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 1467537548 NPPES
New York MEDICAID 1272426
New York MEDICAID 1117920
New York MEDICAID 988804
New York MEDICAID 1398091
New York MEDICAID 017688600

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