Gilliland, Michael William

Gilliland, Michael William is an individual health care provider with primary practice located at 1322 3Rd St Se Suite 100, Puyallup WA 98372-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gilliland, Michael William can be contacted via phone (253) 697-4128.

Contact Information

Primary practice address
1322 3Rd St Se Suite 100 Puyallup WA 98372-3771
Phone: (253) 697-4128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD00042973 Washington

Profile Details

NPI number 1063426005
LBN Legal business name Gilliland, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - 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 1063426005 NPPES
Washington Other 20202185198372A002 TRICARE ID
Washington Other 1322GI TRICARE ID
Washington MEDICAID 1119296 TRICARE ID
Washington Other P00257376 TRICARE ID

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