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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528031101 | NPPES |
| South Carolina | MEDICAID | DE2045 |
Popular Providers
-
Burns, Lawrence E.
2176 Golf Club Ln , Nashville TN 37215-1224 -
Niemela, John D
7870W Us Highway 2 , Manistique MI 49854-8992 -
Layton, Anthony W
15 Sw B Ave , Lawton OK 73501-4006 -
De La Fuente, Edgar
719 N. Second Street , Longview TX 75601-5316 -
Guinn, Christopher Pete
2102 Blalock Dr Suite 102, Austin TX 78758-2428 -
Madho, Rampersaud
1201 Nott St Medical Arts Bldg Ste 306, Schenectady NY 12308-2589 -
Trevino, Victor Daniel
101 W Village Blvd , Laredo TX 78041-2211 -
Havran, James S
2122 Babcock Rd Ste 102 , San Antonio TX 78229-4411