Gillis, Allen Dean
Gillis, Allen Dean is an individual health care provider with primary practice located at 209 W 7Th St , Coffeyville KS 67337-4903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gillis, Allen Dean can be contacted via phone (620) 251-1100.Contact Information
Primary practice address
209 W 7Th St
Coffeyville KS 67337-4903
Phone: (620) 251-1100
Fax: (620) 251-7466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 05-17406 | Kansas |
Profile Details
| NPI number | 1699753830 |
|---|---|
| LBN Legal business name | Gillis, Allen Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jan 16th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699753830 | NPPES |
| Kansas | Other | 009626 | BLUE CROSS BLUE SHIELD |
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