Gibson, Nathan John
Gibson, Nathan John is an individual health care provider with primary practice located at 2086 Vadalabene Drive , Maryville IL 62062. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gibson, Nathan John can be contacted via phone (618) 288-7150.Contact Information
Primary practice address
2086 Vadalabene Drive
Maryville IL 62062
Phone: (618) 288-7150
Fax: (618) 288-7160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070017219 | Illinois |
Profile Details
| NPI number | 1659502862 |
|---|---|
| LBN Legal business name | Gibson, Nathan John |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Aug 7th, 2009 - about 16 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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