Gillett, Michael D

Gillett, Michael D is an individual health care provider with primary practice located at 201 W 69Th St , Sioux Falls SD 57108-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gillett, Michael D can be contacted via phone (605) 336-0635.

Contact Information

Primary practice address
201 W 69Th St Sioux Falls SD 57108-2403
Phone: (605) 336-0635
Fax: (605) 271-0543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 43656 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 5878 South Dakota

Profile Details

NPI number 1619954542
LBN Legal business name Gillett, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Feb 1st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619954542 NPPES
Iowa MEDICAID 0749101
Iowa Other P00337027
Iowa MEDICAID 7500490
Iowa MEDICAID 165167600

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