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Contact Information

AMANDA M GIBBS, PA-C
535 HOSPITAL RD
NEW RICHMOND, WI54017
 Phone: 715-243-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA M GIBBS · (Female)

NPI Number 1366881021
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/17/2013
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12656
  • VA License # 0110004269
  • WI License # 4337-23
Hospital affiliation(s)
  • AMERY REG MED CTR - (Critical Access)
    265 GRIFFIN STREET EAST
    AMERY, WI 54001
  • LAKEVIEW MEMORIAL HOSPITAL - (Acute Care)
    927 WEST CHURCHILL STREET
    STILLWATER, MN 55082
  • WESTFIELDS HOSPITAL - (Critical Access)
    535 HOSPITAL RD
    NEW RICHMOND, WI 54017
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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