Gibson, Johnny Lewis

Gibson, Johnny Lewis is an sole proprietor health care provider with primary practice located at 8030 Crowder Blvd Ste A , New Orleans LA 70127-1063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Independent Medical Examiner. Allopathic & Osteopathic Physicians / Independent Medical Examiner is his primary health care specialty. Gibson, Johnny Lewis can be contacted via phone (504) 246-2119.

Contact Information

Primary practice address
8030 Crowder Blvd Ste A New Orleans LA 70127-1063
Phone: (504) 246-2119
Fax: (504) 246-0663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.013132 Louisiana
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 013131 Louisiana

Profile Details

NPI number 1770789570
LBN Legal business name Gibson, Johnny Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Sep 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770789570 NPPES
Louisiana MEDICAID 1301973

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