Gillan, Garth Jackson

Gillan, Garth Jackson is an sole proprietor health care provider with primary practice located at 108 W Beaver Ave Suite 205, State College PA 16801-4836. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gillan, Garth Jackson can be contacted via phone (814) 234-2279.

Contact Information

Primary practice address
108 W Beaver Ave Suite 205 State College PA 16801-4836
Fax: (814) 422-0778
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002317 Pennsylvania

Profile Details

NPI number 1689655425
LBN Legal business name Gillan, Garth Jackson
Credentials DMIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 19 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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