Gillen, John B

Gillen, John B is an individual health care provider with primary practice located at 435 South Burnett Road , Springfield OH 45505-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gillen, John B can be contacted via phone (937) 325-8796.

Contact Information

Primary practice address
435 South Burnett Road Springfield OH 45505-2717
Phone: (937) 325-8796
Fax: (937) 325-3640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35-06-4962-G Ohio

Profile Details

NPI number 1356312755
LBN Legal business name Gillen, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 22nd, 2008 - about 18 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 1356312755 NPPES
Ohio Other 000000009482 ANTHEM PROVIDER NUMBER
Ohio Other 040006587 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 0931684 ANTHEM PROVIDER NUMBER
Ohio Other 1000182 ANTHEM PROVIDER NUMBER
Ohio Other 4321313 ANTHEM PROVIDER NUMBER

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