Willie B Gibson Md Pc

LBN: Willie B Gibson Md Pc
Willie B Gibson Md Pc is an health care organization with primary practice located at 18300 W Mcnichols Rd , Detroit MI 48219-4162. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Willie B Gibson Md Pc can be contacted via phone (313) 535-9366, or through Foster, Cheryl L 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:
Map and Directions
Authorized official contact:
Name: Foster, Cheryl L
Phone: (313) 535-9366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301035487 Michigan

Profile Details

NPI number 1043549181
LBN Legal business name Willie B Gibson Md Pc
DBA Doing business as
Authorized official Foster, Cheryl L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Jun 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043549181 NPPES
Michigan MEDICAID 1098127

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