Gibson, Robert
Gibson, Robert is an sole proprietor health care provider with primary practice located at 8200 E Jacque Dr , Prescott Valley AZ 86314-6172. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gibson, Robert can be contacted via phone (928) 442-9205.Contact Information
Primary practice address
8200 E Jacque Dr
Prescott Valley AZ 86314-6172
Phone: (928) 442-9205
Fax: (928) 440-7600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC1042 | Arizona |
Profile Details
NPI number | 1336686476 |
---|---|
LBN Legal business name | Gibson, Robert |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 27th, 2017 |
Last updated | Jan 27th, 2017 - about 7 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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