Gibson, Paul H

Gibson, Paul H is an sole proprietor health care provider with primary practice located at 11188 Tesson Ferry Road Suite 100, Saint Louis MO 63123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Gibson, Paul H can be contacted via phone (314) 849-5300.

Contact Information

Primary practice address
11188 Tesson Ferry Road Suite 100 Saint Louis MO 63123
Phone: (314) 849-5300
Fax: (314) 849-2014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MDR8115 Missouri

Profile Details

NPI number 1013909613
LBN Legal business name Gibson, Paul H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Aug 30th, 2016 - about 8 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 1013909613 NPPES
Other 060012489 RR MCR
Other 100777 RR MCR
Other 42440 RR MCR
Other 2500159 RR MCR
Other 4061051 RR MCR
Other 21837 RR MCR
MEDICAID 201166410 RR MCR

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