Gillespie, Brent Douglass

Gillespie, Brent Douglass is an individual health care provider with primary practice located at 7801 Academy Rd Ne , Albuquerque NM 87109-3379. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gillespie, Brent Douglass can be contacted via phone (505) 272-2700.

Contact Information

Primary practice address
7801 Academy Rd Ne Albuquerque NM 87109-3379
Fax: (505) 272-2760
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2017-0067 New Mexico

Profile Details

NPI number 1285153346
LBN Legal business name Gillespie, Brent Douglass
Credentials MSPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2017
Last updated Jul 13th, 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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