Gibson, John Heyl
Gibson, John Heyl is an individual health care provider with primary practice located at 190 Kimel Park Dr Ste 120 , Winston Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gibson, John Heyl can be contacted via phone (336) 277-2200.Contact Information
Primary practice address
190 Kimel Park Dr Ste 120
Winston Salem NC 27103-6946
Phone: (336) 277-2200
Fax: (336) 277-2210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2084H0002X | 36445 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36445 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2006-00136 | North Carolina |
Profile Details
| NPI number | 1326057928 |
|---|---|
| LBN Legal business name | Gibson, John Heyl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 25th, 2020 - about 4 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 | 1326057928 | NPPES |
| North Carolina | Other | P00605571 | RR MEDICARE |
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