Gillette, Wesley Matthew
Gillette, Wesley Matthew is an individual health care provider with primary practice located at 1432 Kimbrough Rd , Germantown TN 38138-2405. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Gillette, Wesley Matthew can be contacted via phone (901) 767-4499.Contact Information
Primary practice address
1432 Kimbrough Rd
Germantown TN 38138-2405
Phone: (901) 767-4499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 67920 | Tennessee |
Profile Details
| NPI number | 1811552045 |
|---|---|
| LBN Legal business name | Gillette, Wesley Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2019 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811552045 | NPPES |
| Tennessee | Other | 67920 | STATE LICENSE |
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