Gibson, Mike W

Gibson, Mike W is an sole proprietor health care provider with primary practice located at 617 N Ebrite St , Mesquite TX 75149-3453. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Gibson, Mike W can be contacted via phone (972) 850-9945.

Contact Information

Primary practice address
617 N Ebrite St Mesquite TX 75149-3453
Fax: (866) 496-5016
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 804211277 Texas

Profile Details

NPI number 1003588427
LBN Legal business name Gibson, Mike W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - 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 1003588427 NPPES
Texas MEDICAID 1326388711

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