Gibson, Leo Berman

Gibson, Leo Berman is an individual health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibson, Leo Berman can be contacted via phone (304) 414-4800.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1311
Phone: (304) 414-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1256 West Virginia

Profile Details

NPI number 1780688614
LBN Legal business name Gibson, Leo Berman
Credentials RETIRED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated May 2nd, 2022 - about 2 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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