Gibson, Warren Douglas
Gibson, Warren Douglas is an sole proprietor health care provider with primary practice located at 1629 Highway 544 , Conway SC 29526-8452. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Gibson, Warren Douglas can be contacted via phone (843) 347-7281.Contact Information
Primary practice address
1629 Highway 544
Conway SC 29526-8452
Phone: (843) 347-7281
Fax: (843) 347-9785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1528031101 |
|---|---|
| LBN Legal business name | Gibson, Warren Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528031101 | NPPES |
| South Carolina | MEDICAID | DE2045 |
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