Gibson, Stephanie L
Gibson, Stephanie L is an individual health care provider with primary practice located at 600 Medical Center Dr , Newton KS 67114-8780. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gibson, Stephanie L can be contacted via phone (316) 283-2700.Contact Information
Primary practice address
600 Medical Center Dr
Newton KS 67114-8780
Phone: (316) 283-2700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28096 | Kansas |
Profile Details
NPI number | 1679503262 |
---|---|
LBN Legal business name | Gibson, Stephanie L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jun 3rd, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679503262 | NPPES |
Kansas | MEDICAID | 100334990A | |
Kansas | Other | 11522 | |
Kansas | Other | 16991 | |
Kansas | Other | 100237 | |
Kansas | Other | 12149528 | |
Kansas | Other | 054904 |
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