Gibson, Wesley C
Gibson, Wesley C is an individual health care provider with primary practice located at 7720 Us Highway 98 W Suite 380, Destin FL 32550-7230. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Gibson, Wesley C can be contacted via phone (850) 862-4001.Contact Information
Primary practice address
7720 Us Highway 98 W Suite 380
Destin FL 32550-7230
Phone: (850) 862-4001
Fax: (850) 862-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | DO 4476 | Florida |
Profile Details
| NPI number | 1386782183 |
|---|---|
| LBN Legal business name | Gibson, Wesley C |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Aug 3rd, 2010 - about 15 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 | 1386782183 | NPPES |
| Florida | MEDICAID | 630333100 | |
| Florida | Other | DO 4476 |
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