Gibson, Larry

Gibson, Larry is an sole proprietor health care provider with primary practice located at 2051 Hamill Rd Ste 301 B, Hixson TN 37343-6614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gibson, Larry can be contacted via phone (423) 877-1212.

Contact Information

Primary practice address
2051 Hamill Rd Ste 301 B Hixson TN 37343-6614
Phone: (423) 877-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD19747 Tennessee

Profile Details

NPI number 1114013521
LBN Legal business name Gibson, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Sep 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114013521 NPPES
Tennessee Other 3074845 BLUECROSS BLUESHIELD
Tennessee MEDICAID 3181502 BLUECROSS BLUESHIELD

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