Gilliam, Haywood S

Gilliam, Haywood S is an individual health care provider with primary practice located at 202 So Park St Meriter Hospital, Madison WI 53715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gilliam, Haywood S can be contacted via phone (608) 417-6387.

Contact Information

Primary practice address
202 So Park St Meriter Hospital Madison WI 53715
Phone: (608) 417-6387
Fax: (608) 417-6198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 30734 Wisconsin

Profile Details

NPI number 1316902091
LBN Legal business name Gilliam, Haywood S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 25th, 2008 - about 18 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 1316902091 NPPES
Wisconsin MEDICAID 31533000

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