Gilliam, Jeffrey

Gilliam, Jeffrey is an sole proprietor health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gilliam, Jeffrey can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd Phoenix AZ 85012-1839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1710421466
LBN Legal business name Gilliam, Jeffrey
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2016
Last updated Dec 15th, 2016 - about 10 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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