Provider Demographics
NPI:1588708408
Name:GIBSON, BARBARA ANN (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:GIBSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2155 LA HIGHWAY 1, B-2303, HEALTH SERVICES
Mailing Address - Street 2:THE DOWN CHEMICAL COMPANY
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764
Mailing Address - Country:US
Mailing Address - Phone:225-353-8292
Mailing Address - Fax:225-353-6198
Practice Address - Street 1:21255 LA HIGHWAY 1, B-2303, HEALTH SERVICES
Practice Address - Street 2:THE DOWN CHEMICAL COMPANY
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764
Practice Address - Country:US
Practice Address - Phone:225-353-8292
Practice Address - Fax:225-353-6198
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01039921A2083X0100X
MI43011021942083X0100X
LA3048042083X0100X
MN377372083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG18551Medicare UPIN