Gilmore, Robert Wayde

Gilmore, Robert Wayde is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gilmore, Robert Wayde can be contacted via phone (502) 852-5851.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 852-5851
Fax: (502) 852-3762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01082470A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 58325 Kentucky

Profile Details

NPI number 1366837452
LBN Legal business name Gilmore, Robert Wayde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2015
Last updated Nov 6th, 2023 - about 2 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 1366837452 NPPES
Indiana MEDICAID 300028089
Indiana MEDICAID 7100614610

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