Gildea, Jon R

Gildea, Jon R is an individual health care provider with primary practice located at 2946 Starlight Drive , Missoula MT 59803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Gildea, Jon R can be contacted via phone (406) 240-2148.

Contact Information

Primary practice address
2946 Starlight Drive Missoula MT 59803
Phone: (406) 240-2148
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101014660 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014660 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 10620 Montana

Profile Details

NPI number 1548243439
LBN Legal business name Gildea, Jon R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Mar 8th, 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 1548243439 NPPES
Michigan MEDICAID 4614956
Michigan MEDICAID 4615292
Michigan MEDICAID 4617359
Michigan Other JG014660
Michigan Other P00158334

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