Gibson, Keith
Gibson, Keith is an individual health care provider with primary practice located at 16 Woodbine Ln , Danville PA 17821-8029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibson, Keith can be contacted via phone (570) 271-6070.Contact Information
Primary practice address
16 Woodbine Ln
Danville PA 17821-8029
Phone: (570) 271-6070
Fax: (570) 271-5609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD039212E | Pennsylvania |
Profile Details
| NPI number | 1326016882 |
|---|---|
| LBN Legal business name | Gibson, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jun 24th, 2020 - 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 | 1326016882 | NPPES |
| Pennsylvania | MEDICAID | 001168384 |
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