Gibson, Susan H

Gibson, Susan H is an individual health care provider with primary practice located at 1304 W Bradley Ave , Champaign IL 61821-2035. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gibson, Susan H can be contacted via phone (217) 359-0287.

Contact Information

Primary practice address
1304 W Bradley Ave Champaign IL 61821-2035
Phone: (217) 359-0287
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070003093 Illinois

Profile Details

NPI number 1659545507
LBN Legal business name Gibson, Susan H
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - 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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