Gilham, Thomas E

Gilham, Thomas E is an individual health care provider with primary practice located at 5503 Marvin Shields Blvd , Gulfport MS 39501-9007. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gilham, Thomas E can be contacted via phone (228) 871-2810.

Contact Information

Primary practice address
5503 Marvin Shields Blvd Gulfport MS 39501-9007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 1710I1002X

Profile Details

NPI number 1508828161
LBN Legal business name Gilham, Thomas E
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 10th, 2007 - about 17 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 1508828161 NPPES
Other 1710I1002X INDEPENDENT DUTY CORPSMAN

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