Gibson, Michelle J
Gibson, Michelle J is an sole proprietor health care provider with primary practice located at 5440 Watkins Dr Suite B, Jackson MS 39206-2034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gibson, Michelle J can be contacted via phone (601) 364-2726.Contact Information
Primary practice address
5440 Watkins Dr Suite B
Jackson MS 39206-2034
Phone: (601) 364-2726
Fax: (601) 364-2731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 15752 | Mississippi |
Profile Details
| NPI number | 1659366854 |
|---|---|
| LBN Legal business name | Gibson, Michelle J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Aug 12th, 2011 - about 14 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 | 1659366854 | NPPES |
| Mississippi | MEDICAID | 00119640 |
Popular Providers
-
Danielson, Charles E
159 Silver St , Waterville ME 04901-5813 -
Rivera Morillo, Pedro D
Avenida Munoz Marin A-8 , Caguas PR 00725 -
Earnest, Robert Rhea
460 Country Club Rd , Lumberton NC 28360-9494 -
Attisha, Elliott S
32100 Telegraph Rd Suite 110, Bingham Farms MI 48025-2452 -
Ahmadi, Cyrus
53 Passaic Ave , Passaic NJ 07055-4801 -
Dharmapuri, Sadhana Kalpana
2500 N State St , Jackson MS 39216-4500 -
Weiss, Lori J
6840 Windsor Ave , Berwyn IL 60402-3441 -
Howard, Monique Maria
311 W. Fairchild Street , Danville IL 61832-3803