Fillmore, Gary Lee
Fillmore, Gary Lee is an individual health care provider with primary practice located at 9911 N Nevada St Ste B , Spokane WA 99218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fillmore, Gary Lee can be contacted via phone (509) 484-5710.Contact Information
Primary practice address
9911 N Nevada St Ste B
Spokane WA 99218
Phone: (509) 484-5710
Fax: (509) 487-1000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00049255 | Washington |
Profile Details
| NPI number | 1265413769 |
|---|---|
| LBN Legal business name | Fillmore, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1265413769 | NPPES |
| Other | P00642793 | RAILROAD MEDICARE | |
| Other | MD00049255 | RAILROAD MEDICARE | |
| Other | 0239190 | RAILROAD MEDICARE | |
| MEDICAID | 808422000 | RAILROAD MEDICARE | |
| MEDICAID | 8509440 | RAILROAD MEDICARE | |
| Other | 8949273 | RAILROAD MEDICARE | |
| Other | G8874801 | RAILROAD MEDICARE |
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