Gibson, Willie B
Gibson, Willie B is an individual health care provider with primary practice located at 18300 W Mcnichols Rd , Detroit MI 48219-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gibson, Willie B can be contacted via phone (313) 535-9366.Contact Information
Primary practice address
18300 W Mcnichols Rd
Detroit MI 48219-4162
Phone: (313) 535-9366
Fax: (313) 534-1970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 4301035487 | Michigan |
Profile Details
| NPI number | 1497801609 |
|---|---|
| LBN Legal business name | Gibson, Willie B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Dec 6th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497801609 | NPPES |
| Michigan | MEDICAID | 1098127 |
Popular Providers
-
Pinto, Joan
22201 Moross Rd Ste 260, Detroit MI 48236-2175 -
Samantray, Julie
4201 Saint Antoine St Suite 5A, Detroit MI 48201-2153 -
Alsabbagh, Rana
22201 Moross Rd 252, Detroit MI 48236-2169 -
Bone, Henry Grady
22201 Moross Rd Ste 260, Detroit MI 48236-2175 -
Levy, Joseph
4646 John R St , Detroit MI 48201-1916 -
Abou-Samra, Abdul-Badi
4160 John R St Suite 917, Detroit MI 48201-2020 -
Elbadawi, Hussein S
4201 Saint Antoine St Uhc-Suite 5A, Detroit MI 48201-2153 -
Jackson, Hershel
3990 John R St , Detroit MI 48201-2018