Gibson, Laura E
Gibson, Laura E is an sole proprietor health care provider with primary practice located at 33 Catherine St , Burlington VT 05401-4838. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gibson, Laura E can be contacted via phone (802) 238-2600.Contact Information
Primary practice address
33 Catherine St
Burlington VT 05401-4838
Phone: (802) 238-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0480000821 | Vermont |
Profile Details
| NPI number | 1992757280 |
|---|---|
| LBN Legal business name | Gibson, Laura E |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 24th, 2011 - about 13 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 | 1992757280 | NPPES |
| Vermont | MEDICAID | 1009529 | |
| Vermont | Other | 59513 |
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