Gibson, Sharon E

Gibson, Sharon E is an individual health care provider with primary practice located at 130 Waterman St , Providence RI 02906-2010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Gibson, Sharon E can be contacted via phone (401) 274-2300.

Contact Information

Primary practice address
130 Waterman St Providence RI 02906-2010
Fax: (401) 272-1302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X MD09174 Rhode Island

Profile Details

NPI number 1801904958
LBN Legal business name Gibson, Sharon E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Aug 5th, 2014 - about 10 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 1801904958 NPPES
Rhode Island MEDICAID 9020307

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