Gibson, Thomas Mitchell

Gibson, Thomas Mitchell is an individual health care provider with primary practice located at 40 Mainstreet Paul Martin Gundersen Memorial Clinic, Nelson Lagoon AK 99751. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gibson, Thomas Mitchell can be contacted via phone (907) 989-2202.

Contact Information

Primary practice address
40 Mainstreet Paul Martin Gundersen Memorial Clinic Nelson Lagoon AK 99751
Phone: (907) 989-2202
Fax: (907) 989-2245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 06-891-IV Alaska

Profile Details

NPI number 1881074789
LBN Legal business name Gibson, Thomas Mitchell
Credentials HEALTH AID
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 10 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 1881074789 NPPES
Alaska Other 06-891-IV ALASKA COMMUNITY HEALTH AID CERTIFICATION

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