Gillum, David M

Gillum, David M is an individual health care provider with primary practice located at 5265 Vance St Suite 200, Arvada CO 80002-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gillum, David M can be contacted via phone (303) 232-3366.

Contact Information

Primary practice address
5265 Vance St Suite 200 Arvada CO 80002-3714
Phone: (303) 232-3366
Fax: (303) 232-8734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23221 Colorado

Profile Details

NPI number 1053302398
LBN Legal business name Gillum, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053302398 NPPES
Colorado Other 390005661 RR MEDICARE
Colorado MEDICAID 01232214 RR MEDICARE

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