Harris, William Gibson

Harris, William Gibson is an individual health care provider with primary practice located at 79 S Main St , Mullica Hill NJ 08062-9706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, William Gibson can be contacted via phone (856) 478-2160.

Contact Information

Primary practice address
79 S Main St Mullica Hill NJ 08062-9706
Phone: (856) 478-2160
Fax: (707) 667-2159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22652 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14678 North Carolina

Profile Details

NPI number 1023024718
LBN Legal business name Harris, William Gibson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023024718 NPPES
New Jersey MEDICAID 1638807

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