Gillum Facial Plastic Surgery, Pc
LBN: Gillum Facial Plastic Surgery, Pc
Gillum Facial Plastic Surgery, Pc is an health care organization with primary practice located at 330 N Wabash Ave Ste 210, Marion IN 46952-2600. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Gillum Facial Plastic Surgery, Pc can be contacted via phone (765) 651-4278, or through Gillum, Timothy G via phone (765) 651-4278.
Contact Information
Primary practice address
330 N Wabash Ave Ste 210
Marion IN 46952-2600
Phone: (765) 651-4278
Fax: (765) 664-6445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0155912A | Indiana |
Profile Details
| NPI number | 1063563617 |
|---|---|
| LBN Legal business name | Gillum Facial Plastic Surgery, Pc |
| DBA Doing business as | |
| Authorized official | Gillum, Timothy G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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