Gillespie, Rachel M
Gillespie, Rachel M is an sole proprietor health care provider with primary practice located at 1200 W 12 Mile Rd , Madison Heights MI 48071-4439. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Gillespie, Rachel M can be contacted via phone (248) 543-0600.Contact Information
Primary practice address
1200 W 12 Mile Rd
Madison Heights MI 48071-4439
Phone: (248) 543-0600
Fax: (248) 543-0562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5901002658 | Michigan |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901400351 | Michigan |
Profile Details
| NPI number | 1063968618 |
|---|---|
| LBN Legal business name | Gillespie, Rachel M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Dec 30th, 2020 - about 6 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 | 1063968618 | NPPES |
| Michigan | MEDICAID | 23-0264 |
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