Gilliland-Minard, Devon
Gilliland-Minard, Devon is an individual health care provider with primary practice located at 1200 Valley West Dr Ste 304-10 , West Des Moines IA 50266-1903. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gilliland-Minard, Devon can be contacted via phone (515) 309-2113.Contact Information
Primary practice address
1200 Valley West Dr Ste 304-10
West Des Moines IA 50266-1903
Phone: (515) 309-2113
Fax: (515) 864-0537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 007523 | Iowa |
Profile Details
| NPI number | 1154633741 |
|---|---|
| LBN Legal business name | Gilliland-Minard, Devon |
| Credentials | L.M.S.W |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2010 |
| Last updated | Apr 18th, 2024 - about 2 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 | 1154633741 | NPPES |
| Iowa | MEDICAID | 0469676 | |
| Iowa | MEDICAID | 1001123 |
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