Gibson, Telisa Foots
Gibson, Telisa Foots is an individual health care provider with primary practice located at 2817 Reilly Rd , Fort Bragg NC 28310-7324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gibson, Telisa Foots can be contacted via phone (910) 907-9078.Contact Information
Primary practice address
2817 Reilly Rd
Fort Bragg NC 28310-7324
Phone: (910) 907-9078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000958 | North Carolina |
Profile Details
| NPI number | 1609836808 |
|---|---|
| LBN Legal business name | Gibson, Telisa Foots |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| 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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