Gillette, John R.

Gillette, John R. is an individual health care provider with primary practice located at 1400 Emeline Ave 2Nd Floor, Santa Cruz CA 95060-1976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gillette, John R. can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave 2Nd Floor Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C29328 California

Profile Details

NPI number 1598756579
LBN Legal business name Gillette, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598756579 NPPES
California Other C29328 PROFESSIONAL LICENSE #
California Other ZZZ91891Z PROFESSIONAL LICENSE #
California Other ZZZ91892Z PROFESSIONAL LICENSE #
California MEDICAID 00C293280 PROFESSIONAL LICENSE #
California Other ZZZ92069Z PROFESSIONAL LICENSE #

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