Gilling, Nathan C

Gilling, Nathan C is an individual health care provider with primary practice located at 525 Kenosha St , Walworth WI 53184-9512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilling, Nathan C can be contacted via phone (262) 275-2101.

Contact Information

Primary practice address
525 Kenosha St Walworth WI 53184-9512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 67683 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036143429 Illinois

Profile Details

NPI number 1477991602
LBN Legal business name Gilling, Nathan C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Nov 16th, 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 1477991602 NPPES
Wisconsin MEDICAID 100070235

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