Gillespie, Michael Wade
Gillespie, Michael Wade is an sole proprietor health care provider with primary practice located at 101 Brookside Drive , Walla Walla WA 99362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gillespie, Michael Wade can be contacted via phone (509) 525-1890.Contact Information
Primary practice address
101 Brookside Drive
Walla Walla WA 99362
Phone: (509) 525-1890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14620 | Washington |
Profile Details
| NPI number | 1538597935 |
|---|---|
| LBN Legal business name | Gillespie, Michael Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2013 |
| Last updated | Oct 22nd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538597935 | NPPES |
| Washington | MEDICAID | 1304203 |
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