Gibson, Susan M

Gibson, Susan M is an individual health care provider with primary practice located at 3840 Gault Ave N , Fort Payne AL 35967-5211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gibson, Susan M can be contacted via phone (256) 844-4975.

Contact Information

Primary practice address
3840 Gault Ave N Fort Payne AL 35967-5211
Phone: (256) 844-4975
Fax: (256) 844-4978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21115 Alabama

Profile Details

NPI number 1720194087
LBN Legal business name Gibson, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 20th, 2012 - about 12 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 1720194087 NPPES
Alabama Other 051544790 BLUE CROSS BLUE SHIELD
Alabama Other 051544794 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630308067 BLUE CROSS BLUE SHIELD
Alabama Other 051544795 BLUE CROSS BLUE SHIELD
Alabama Other 051544789 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630309067 BLUE CROSS BLUE SHIELD
Alabama Other 051544791 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630302067 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630303067 BLUE CROSS BLUE SHIELD
Alabama Other 051544792 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630306067 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 630307067 BLUE CROSS BLUE SHIELD

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