Individual provider · Type 1 NPI
Antonio L. Gibson Sr.
Vehicle Modifications Contractor · Greenfield, IN
NPI number
1508624016
Active
Practice location
594 Geronimo Dr
Greenfield, IN 46140-9375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vehicle Modifications Contractor Primary | 171WV0202X | 202303151673406 (IN) |
| Driver | 172A00000X | 202303151673406 (IN) |
Vehicle Modifications Contractor: A contractor who makes modifications to private vehicles to accommodate a health condition.
About NPI 1508624016
Antonio L. Gibson Sr.'s National Provider Identifier is 1508624016, issued on Mar 8, 2024. The primary taxonomy on file is Vehicle Modifications Contractor (171WV0202X), and the practice location is in Greenfield, IN. The record was last updated on Mar 14, 2024.