Dr. Scott C. Gibson
Emergency Medical Services
125 S Kalamazoo Mall Suite 204
Kalamazoo
, Michigan 49007-4832
Dr. Scott C. Gibson
Emergency Medical Services
125 S Kalamazoo Mall Suite 204
Kalamazoo
, Michigan 49007-4832
(269) 343-5640
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Scott C. Gibson
- 125 S Kalamazoo Mall Suite 204
- Kalamazoo, MI
- Zip : 49007-4832
- Fax : (269) 343-5640
- Phone : (269) 343-3900
Second Address
- Dr. Scott C. Gibson
- 125 S Kalamazoo Mall Suite 204
- Kalamazoo, MI
- Zip : 49007-4832
- Fax : (269) 343-5640
- Phone : (269) 343-3900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4301063448 | MI |
National Provider Identifier
| NPI | 1073554325 |
|---|---|
| Provider Name | Dr. Scott C. Gibson |
| First Address | Kalamazoo, MI 49007-4832 |
| Second Address | Kalamazoo, MI 49007-4832 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 24/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10/3068510 | (05) | MI |
| 10/4686884 | (05) | MI |
| F32963 | (02) | MI |
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.