Gildea, Christopher Michael

Gildea, Christopher Michael is an individual health care provider with primary practice located at 60101 Bodnar Blvd Ste 100B Saint Joseph Family Medicine At Elm Road, Mishawaka IN 46544-9340. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Gildea, Christopher Michael can be contacted via phone (574) 335-8500.

Contact Information

Primary practice address
60101 Bodnar Blvd Ste 100B Saint Joseph Family Medicine At Elm Road Mishawaka IN 46544-9340
Fax: (574) 335-0794
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 26026231A Indiana

Profile Details

NPI number 1457887713
LBN Legal business name Gildea, Christopher Michael
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2017
Last updated May 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457887713 NPPES
Indiana Other 26026231A STATE LICENSE

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