Gibson, Michael G
Gibson, Michael G is an individual health care provider with primary practice located at 4515 Southlake Pkwy Ste 200 , Hoover AL 35244-3319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gibson, Michael G can be contacted via phone (205) 313-7246.Contact Information
Primary practice address
4515 Southlake Pkwy Ste 200
Hoover AL 35244-3319
Phone: (205) 313-7246
Fax: (205) 939-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17424 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 17424 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 17424 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 17424 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 17424 | Alabama |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 17424 | Alabama |
Profile Details
| NPI number | 1013068881 |
|---|---|
| LBN Legal business name | Gibson, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Oct 31st, 2017 - about 7 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 | 1013068881 | NPPES |
| Other | 167883900 | US DEPT OF LABOR | |
| Other | 20-00232 | US DEPT OF LABOR | |
| MEDICAID | 529502690 | US DEPT OF LABOR | |
| Other | 0510 25521 | US DEPT OF LABOR |
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