William G Gibson IV
Nurse Practitioner - Family Medicine
9500 Euclid Ave Mail Code H18
Cleveland
, Ohio 44195-0001
William G Gibson IV
Nurse Practitioner - Family Medicine
9500 Euclid Ave Mail Code H18
Cleveland
, Ohio 44195-0001
(216) 636-5387
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- William G Gibson IV
- 9500 Euclid Ave Mail Code H18
- Cleveland, OH
- Zip : 44195-0001
- Fax : (216) 636-5387
- Phone : (216) 444-0733
Second Address
- William G Gibson IV
- 9500 Euclid Ave Mail Code H18
- Cleveland, OH
- Zip : 44195-0001
- Fax : (216) 636-5387
- Phone : (216) 444-0733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.17029-NP | OH |
National Provider Identifier
| NPI | 1003218876 |
|---|---|
| Provider Name | William G Gibson IV |
| First Address | Cleveland, OH 44195-0001 |
| Second Address | Cleveland, OH 44195-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2014 |
| Last Update Date | 23/02/2015 |
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.