Gildner, Vince A
Gildner, Vince A is an individual health care provider with primary practice located at 111 Tumwater Blvd Se Suite 113, Tumwater WA 98501-6400. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gildner, Vince A can be contacted via phone (360) 528-3300.Contact Information
Primary practice address
111 Tumwater Blvd Se Suite 113
Tumwater WA 98501-6400
Phone: (360) 528-3300
Fax: (360) 528-8162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 602183250 | Washington |
Profile Details
| NPI number | 1396746418 |
|---|---|
| LBN Legal business name | Gildner, Vince A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1396746418 | NPPES |
| Virginia | Other | 158090 | L&I INDIVIDUAL |
| Virginia | MEDICAID | 8406068 | L&I INDIVIDUAL |
| Virginia | Other | 8610GI | L&I INDIVIDUAL |
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