Gibson, Randel
Gibson, Randel is an sole proprietor health care provider with primary practice located at 353 Highway 15 N , Pontotoc MS 38863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibson, Randel can be contacted via phone (662) 490-1985.Contact Information
Primary practice address
353 Highway 15 N
Pontotoc MS 38863
Phone: (662) 490-1985
Fax: (662) 490-1989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02027 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19706 | Mississippi |
Profile Details
| NPI number | 1750336335 |
|---|---|
| LBN Legal business name | Gibson, Randel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Aug 7th, 2018 - about 6 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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