Gilliland, Robert Thaine
Gilliland, Robert Thaine is an individual health care provider with primary practice located at 1600 Prairie Center Pkwy , Brighton CO 80601-4006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gilliland, Robert Thaine can be contacted via phone (303) 458-1600.Contact Information
Primary practice address
1600 Prairie Center Pkwy
Brighton CO 80601-4006
Phone: (303) 458-1600
Fax: (303) 654-8170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 104 | Colorado |
Profile Details
| NPI number | 1952374381 |
|---|---|
| LBN Legal business name | Gilliland, Robert Thaine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 11th, 2009 - about 17 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 | 1952374381 | NPPES |
| Colorado | MEDICAID | 07010408 | |
| Colorado | Other | 970016341 |
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