Gibson, Kearra
Gibson, Kearra is an sole proprietor health care provider with primary practice located at 9220 Mentor Ave , Mentor OH 44060-6412. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Gibson, Kearra can be contacted via phone (440) 354-9924.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1689229031 |
|---|---|
| LBN Legal business name | Gibson, Kearra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2019 |
| Last updated | Aug 2nd, 2019 - about 5 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 | 1689229031 | NPPES |
| Ohio | MEDICAID | 2864093 |
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