Gillogly, Alan Young
Gillogly, Alan Young is an sole proprietor health care provider with primary practice located at 3014 W Broad St , Columbus OH 43204-2652. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gillogly, Alan Young can be contacted via phone (614) 274-1451.Contact Information
Primary practice address
3014 W Broad St
Columbus OH 43204-2652
Phone: (614) 274-1451
Fax: (614) 274-2908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3736 T457 | Ohio |
Profile Details
| NPI number | 1922098540 |
|---|---|
| LBN Legal business name | Gillogly, Alan Young |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Sep 18th, 2012 - about 14 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 | 1922098540 | NPPES |
| Ohio | MEDICAID | 0710243 | |
| Ohio | Other | 410003795 |
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