Gibson, Michael

Gibson, Michael is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gibson, Michael can be contacted via phone (608) 260-3435.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 260-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 73815-20 Wisconsin

Profile Details

NPI number 1356737464
LBN Legal business name Gibson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Dec 18th, 2020 - about 4 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 1356737464 NPPES
Wisconsin MEDICAID 1356737464

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