Gibson, Jill
Gibson, Jill is an individual health care provider with primary practice located at 1715 Iron Horse Dr Ste 100 , Longmont CO 80501-9617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gibson, Jill can be contacted via phone (720) 494-4700.Contact Information
Primary practice address
1715 Iron Horse Dr Ste 100
Longmont CO 80501-9617
Phone: (720) 494-4700
Fax: (720) 494-4706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 49086 | Colorado |
Profile Details
| NPI number | 1629120761 |
|---|---|
| LBN Legal business name | Gibson, Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | May 2nd, 2024 - about 6 months 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 | 1629120761 | NPPES |
| Colorado | MEDICAID | 47730072 |
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