Jonathan David Gibson
Individual provider Active NPI Other Technician · Essexville, MI
NPI 1407204993 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1407204993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 43 Jean CT
Essexville, MI 48732-9407 - Phone
- (989) 402-8851
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
43 Jean CT
Essexville, MI 48732-9407
Mailing address
43 Jean CT
Essexville, MI 48732-9407
Phone (989) 402-8851
Other providers in Essexville, MI
- From the Heart Home Care LLC
- Fusion Custom Chairs, LLC
- Diane Rapson Gabil
- Kristi Lea Geno
- Jessica Gibson
- Mia Jolie Gingerich
- Mira Gokhale
- Tommy Goodroe
- Rashmi Goyal
- Alexandria Greenhoe
All providers in Essexville, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.