Gibson, James

Gibson, James is an individual health care provider with primary practice located at 3015 S Ridge Dr , Springfield MO 65809-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gibson, James can be contacted via phone (417) 887-2342.

Contact Information

Primary practice address
3015 S Ridge Dr Springfield MO 65809-3729
Phone: (417) 887-2342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R1C87 Missouri

Profile Details

NPI number 1124061684
LBN Legal business name Gibson, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 17th, 2022 - about 3 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 1124061684 NPPES
Other 106983 BLUE CROSS/BLUE SHIELD
MEDICAID 109513001 BLUE CROSS/BLUE SHIELD
MEDICAID 201677408 BLUE CROSS/BLUE SHIELD

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