Gibson, Susan Ballou
Gibson, Susan Ballou is an individual health care provider with primary practice located at 110 Hardin Ln Suite 2, Somerset KY 42503-3818. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Gibson, Susan Ballou can be contacted via phone (606) 678-9664.Contact Information
Primary practice address
110 Hardin Ln Suite 2
Somerset KY 42503-3818
Phone: (606) 678-9664
Fax: (606) 679-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 6224 | Kentucky |
Profile Details
| NPI number | 1902958887 |
|---|---|
| LBN Legal business name | Gibson, Susan Ballou |
| Credentials | DMD, MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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