Gibson, Kent Douglas

Gibson, Kent Douglas is an sole proprietor health care provider with primary practice located at 1500Veranda Dr. Se , Rio Rancho NM 87124-3897. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gibson, Kent Douglas can be contacted via phone (505) 994-0229.

Contact Information

Primary practice address
1500Veranda Dr. Se Rio Rancho NM 87124-3897
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X I-3997 New Mexico

Profile Details

NPI number 1386861375
LBN Legal business name Gibson, Kent Douglas
Credentials L.I.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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