Gibson, Mark D
Gibson, Mark D is an individual health care provider with primary practice located at 300 Hoffman St , Elmira NY 14905-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gibson, Mark D can be contacted via phone (607) 734-4110.Contact Information
Primary practice address
300 Hoffman St
Elmira NY 14905-2263
Phone: (607) 734-4110
Fax: (607) 734-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 145863 | New York |
Profile Details
| NPI number | 1396757753 |
|---|---|
| LBN Legal business name | Gibson, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jun 10th, 2016 - about 8 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 | 1396757753 | NPPES |
| Pennsylvania | MEDICAID | 102406367 | |
| Pennsylvania | MEDICAID | 00627225 |
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