Provider Demographics
NPI:1316086473
Name:GIBBS, CURTIS ALLEN (BOARD CERTIFIED INST)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:ALLEN
Last Name:GIBBS
Suffix:
Gender:M
Credentials:BOARD CERTIFIED INST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 CHURN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0263
Mailing Address - Country:US
Mailing Address - Phone:530-221-4624
Mailing Address - Fax:530-221-0339
Practice Address - Street 1:1770 CHURN CREEK RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0263
Practice Address - Country:US
Practice Address - Phone:530-221-4624
Practice Address - Fax:530-221-0339
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3448332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment