Gilmore, Richard

Gilmore, Richard is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Memphis TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Gilmore, Richard can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Memphis TN 38138-1762
Phone: (901) 683-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 61084 Tennessee

Profile Details

NPI number 1588083927
LBN Legal business name Gilmore, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated May 7th, 2021 - about 5 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 1588083927 NPPES
Tennessee MEDICAID Q065204

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