Gibson, Linda Elizabeth

Gibson, Linda Elizabeth is an sole proprietor health care provider with primary practice located at 180 Coastal Ln , Jacksonville NC 28546-6761. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Gibson, Linda Elizabeth can be contacted via phone (910) 455-6724.

Contact Information

Primary practice address
180 Coastal Ln Jacksonville NC 28546-6761
Phone: (910) 455-6724
Fax: (910) 346-5489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-067-026 North Carolina

Profile Details

NPI number 1265693584
LBN Legal business name Gibson, Linda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265693584 NPPES
North Carolina MEDICAID 3408956

Popular Providers