Gillam, Sara Lindsay

Gillam, Sara Lindsay is an individual health care provider with primary practice located at 2901 Telestar Ct Ste 100 , Falls Church VA 22042-1261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gillam, Sara Lindsay can be contacted via phone (703) 208-9797.

Contact Information

Primary practice address
2901 Telestar Ct Ste 100 Falls Church VA 22042-1261
Phone: (703) 208-9797
Fax: (703) 591-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0003485 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003987 Virginia

Profile Details

NPI number 1598947111
LBN Legal business name Gillam, Sara Lindsay
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Jul 21st, 2023 - about 3 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 1598947111 NPPES
Virginia MEDICAID 1598947111

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