Gipson, Michael Gene
Gipson, Michael Gene is an individual health care provider with primary practice located at 4508 Stadium Blvd , Jonesboro AR 72404-9675. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gipson, Michael Gene can be contacted via phone (870) 933-6886.Contact Information
Primary practice address
4508 Stadium Blvd
Jonesboro AR 72404-9675
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1821024704 |
|---|---|
| LBN Legal business name | Gipson, Michael Gene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 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 | 1821024704 | NPPES |
| Arkansas | Other | 5W419 | BLUE CROSS NUMBER |
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