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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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