Gibson, Inger L
Gibson, Inger L is an individual health care provider with primary practice located at 154 E Geneva Sq , Lake Geneva WI 53147-9694. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gibson, Inger L can be contacted via phone (262) 249-1000.Contact Information
Primary practice address
154 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 249-1000
Fax: (262) 249-1255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2495 | Wisconsin |
Profile Details
| NPI number | 1386637007 |
|---|---|
| LBN Legal business name | Gibson, Inger L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | May 15th, 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 | 1386637007 | NPPES |
| Wisconsin | MEDICAID | 38618100 |
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