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
Fax: (928) 440-7600
Website:

Health care specialties

SpecialtyCodeLicense #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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