Gibson, Tyrone Aaron

Gibson, Tyrone Aaron is an individual health care provider with primary practice located at 5014 Virginia Ave Apt 2W , Saint Louis MO 63111-1739. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Gibson, Tyrone Aaron can be contacted via phone (202) 487-1337.

Contact Information

Primary practice address
5014 Virginia Ave Apt 2W Saint Louis MO 63111-1739
Phone: (202) 487-1337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1285885673
LBN Legal business name Gibson, Tyrone Aaron
Credentials A.B.O.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Oct 3rd, 2008 - about 16 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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