Gibson, Gary Alan

Gibson, Gary Alan is an individual health care provider with primary practice located at 3556 El Camino Real , Atascadero CA 93422-2532. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gibson, Gary Alan can be contacted via phone (805) 461-6040.

Contact Information

Primary practice address
3556 El Camino Real Atascadero CA 93422-2532
Phone: (805) 461-6040
Fax: (805) 461-6114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAS REG 1157 California

Profile Details

NPI number 1699958017
LBN Legal business name Gibson, Gary Alan
Credentials R.A.S.I.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Sep 4th, 2013 - about 12 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 1699958017 NPPES
California Other RI-G1307080806 RAS BREINING INSTITUTE
California Other 1157 RAS BREINING INSTITUTE

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