Gibson, Jan Marie
Gibson, Jan Marie is an individual health care provider with primary practice located at Bldg 128 Chaffee Rd, Us Army Dental Activity Attn: Dentac Headquearters, Fort Bliss TX 79916. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gibson, Jan Marie can be contacted via phone (915) 742-6001.Contact Information
Primary practice address
Bldg 128 Chaffee Rd, Us Army Dental Activity Attn: Dentac Headquearters
Fort Bliss TX 79916
Phone: (915) 742-6001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 6445 | Washington |
Profile Details
| NPI number | 1417911496 |
|---|---|
| LBN Legal business name | Gibson, Jan Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jun 16th, 2016 - about 9 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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Us Army Dental Activity, Bldg 128 Chaffee Road Attn: Dentac Headquarters, Ft Bliss TX 79916