Dr. Bethany T Gibson
Allergist & Immunologist
101 W Mckinley Ave Enta Allergy, Head & Neck Institute
Decatur
, Illinois 62526
Dr. Bethany T Gibson
Allergist & Immunologist
101 W Mckinley Ave Enta Allergy, Head & Neck Institute
Decatur
, Illinois 62526
(217) 876-2874
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Bethany T Gibson
- 2300 N Edward St Gsbll
- Decatur, IL
- Zip : 62526-4163
- Fax : (217) 876-2874
- Phone : (217) 876-3345
Second Address
- Dr. Bethany T Gibson
- 101 W Mckinley Ave Enta Allergy, Head & Neck Institute
- Decatur, IL
- Zip : 62526
- Fax : (217) 876-3345
- Phone : (217) 876-3682
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 036115524 | IL |
National Provider Identifier
| NPI | 1043278013 |
|---|---|
| Provider Name | Dr. Bethany T Gibson |
| First Address | Decatur, IL 62526-4163 |
| Second Address | Decatur, IL 62526 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 04/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.