Gillespie, Heather Joan

Gillespie, Heather Joan is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gillespie, Heather Joan can be contacted via phone (951) 486-4000.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01062954A Indiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X C180234 California

Profile Details

NPI number 1346380748
LBN Legal business name Gillespie, Heather Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 30th, 2022 - about 4 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 1346380748 NPPES
Indiana MEDICAID 200850680
Indiana Other 000000510647
Indiana Other P00413594

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