Gillis, Benjamin David
Gillis, Benjamin David is an sole proprietor health care provider with primary practice located at 5675 Burlingame Ave. Suite A, Wyoming MI 49509-9702. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gillis, Benjamin David can be contacted via phone (616) 538-2200.Contact Information
Primary practice address
5675 Burlingame Ave. Suite A
Wyoming MI 49509-9702
Phone: (616) 538-2200
Fax: (616) 301-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008777 | Michigan |
Profile Details
| NPI number | 1356567358 |
|---|---|
| LBN Legal business name | Gillis, Benjamin David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Nov 8th, 2016 - about 10 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 | 1356567358 | NPPES |
| Michigan | Other | 950D113070 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | ON84880 | BLUE CROSS BLUE SHIELD |
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