Dillon, Gary P

Dillon, Gary P is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Dillon, Gary P can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1500 Salem St Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-7029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 01024462A Indiana

Profile Details

NPI number 1013923119
LBN Legal business name Dillon, Gary P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 1st, 2013 - about 11 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 1013923119 NPPES
Indiana Other 000000340592 ANTHEM
Indiana MEDICAID 100340440 ANTHEM
Indiana Other 000000705135 ANTHEM

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