Gilmore, Eric Douglas
Gilmore, Eric Douglas is an sole proprietor health care provider with primary practice located at 833 N Last Chance Gulch , Helena MT 59601-3352. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gilmore, Eric Douglas can be contacted via phone (406) 422-4933.Contact Information
Primary practice address
833 N Last Chance Gulch
Helena MT 59601-3352
Phone: (406) 422-4933
Fax: (800) 309-2162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1258 | Montana |
Profile Details
| NPI number | 1467791145 |
|---|---|
| LBN Legal business name | Gilmore, Eric Douglas |
| Credentials | LCSW, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2013 |
| Last updated | Aug 2nd, 2021 - about 4 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 | 1467791145 | NPPES |
| Other | 81-2353711 | FEDERAL TAX ID | |
| Other | BBH-LAC-LIC | FEDERAL TAX ID | |
| Other | BBH-LAC-LIC-1258 | FEDERAL TAX ID |
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