Eric Jon Rainey Gibson in West Des Moines - Psychologist
Eric Jon Rainey Gibson - NPI 1528036761
Eric Jon Rainey Gibson is a Psychologist in West Des Moines, Iowa. Eric Jon Rainey Gibson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eric Jon Rainey Gibson is 1528036761. The last update date is 2007-07-08.
Eric Jon Rainey Gibson's current location address is 1003 Grand Avenue, West Des Moines, Iowa. You can contact this provider via phone number 5152671003 and fax number 5152670100. The mailing address for Eric Jon Rainey Gibson is 1003 Grand Avenue, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Jon Rainey Gibson |
|---|---|
| Address | 1003 Grand Avenue, West Des Moines, Iowa |
| Phone Number | 5152671003 |
| Fax Number | 5152670100 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528036761 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1003 Grand Avenue |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502653502 |
| Phone Number | 5152671003 |
| Fax Number | 5152670100 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | HSP00445 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36432 | IA | BLUE SHIELD | |
| 1045898 | IA | -- | |
| IA0134 | IA | JOHN DEERE HC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eric Jon Rainey Gibson by the Centers for Medicare & Medicaid Services?
The Eric Jon Rainey Gibson has been assigned the NPI (National Provider Identifier) 1528036761 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Eric Jon Rainey Gibson is geographically located?
The Eric Jon Rainey Gibson is physically situated at the following location: 1003 Grand Avenue, West Des Moines, IA, 502653502.
What is Eric Jon Rainey Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric Jon Rainey Gibson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Eric Jon Rainey Gibson receive the assignment of its 1528036761 from the Centers for Medicare & Medicaid Services?
The Eric Jon Rainey Gibson was issued its 1528036761 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information regarding Eric Jon Rainey Gibson most recently updated?
The details pertaining to the Eric Jon Rainey Gibson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.