Gill, Brian Keith

Gill, Brian Keith is an individual health care provider with primary practice located at 2398 5Th Ave Ste 105 , Belle Fourche SD 57717-2340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gill, Brian Keith can be contacted via phone (605) 723-3937.

Contact Information

Primary practice address
2398 5Th Ave Ste 105 Belle Fourche SD 57717-2340
Phone: (605) 723-3937
Fax: (605) 723-3940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 624 South Dakota

Profile Details

NPI number 1285657742
LBN Legal business name Gill, Brian Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 25th, 2024 - about 2 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 1285657742 NPPES
South Dakota Other 4992551 WELLMARK - DEADWOOD
South Dakota MEDICAID 9203662 WELLMARK - DEADWOOD
South Dakota Other 4993782 WELLMARK - DEADWOOD
South Dakota MEDICAID 9203660 WELLMARK - DEADWOOD

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