Gilligan, Suzanne C

Gilligan, Suzanne C is an individual health care provider with primary practice located at 2650 18Th St Ste 100 , Denver CO 80211-4297. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gilligan, Suzanne C can be contacted via phone (720) 583-4470.

Contact Information

Primary practice address
2650 18Th St Ste 100 Denver CO 80211-4297
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 16883-NP Ohio

Profile Details

NPI number 1023401767
LBN Legal business name Gilligan, Suzanne C
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2015
Last updated Feb 25th, 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 1023401767 NPPES
Ohio MEDICAID 0138187

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