National Provider Identifier Database

EDWIN C GIBBS, DC ND LAC – NPI #1417088824
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

EDWIN C GIBBS, DC ND LAC
45 N HOLLADAY DR
SEASIDE, OR97138
Phone: 503-738-7343
Fax: 503-738-9946
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Acupuncturist 171100000X
Naturopath 175F00000X

* Indicates primary specialty

NPI Profile & details for EDWIN C GIBBS

NPI Number 1417088824
Credentials DC ND LAC
Entity Individual
Enumeration date 03/08/2007
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 1078
  • OR License #: 272219
  • OR License #: AC00733
  • OR Medicaid: 076724
  • OR Medicaid: 213146
  • OR Other: 862925001 REGENCE BLUE CROSS
  • OR Other: 862925003 REGENCE BLUE CROSS
  • OR Other: 862925004 REGENCE BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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