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Individual
EDWIN CHARLES GIBBS
Active
Individual
EDWIN CHARLES GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC ND LAC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272219
OR
171100000X
Acupuncturist
AC00733
OR
175F00000X
Naturopath
1078
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076724
—
OR
05
—
213146
—
OR
01
—
862925001
REGENCE BLUE CROSS
OR
01
—
862925003
REGENCE BLUE CROSS
OR
01
—
862925004
REGENCE BLUE CROSS
OR
Enumeration date
03/08/2007
Last updated
11/03/2011
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