Gibson, Jerome

Gibson, Jerome is an individual health care provider with primary practice located at 168 Sw Armand Pl , Lake City FL 32025-2609. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Gibson, Jerome can be contacted via phone (386) 758-8670.

Contact Information

Primary practice address
168 Sw Armand Pl Lake City FL 32025-2609
Phone: (386) 758-8670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1194375261
LBN Legal business name Gibson, Jerome
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2019
Last updated Sep 19th, 2019 - about 6 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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