Gililland, Willard Clay

Gililland, Willard Clay is an individual health care provider with primary practice located at 13922 Seal Beach Blvd Ste B, Seal Beach CA 90740-5387. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Gililland, Willard Clay can be contacted via phone (562) 431-1512.

Contact Information

Primary practice address
13922 Seal Beach Blvd Ste B Seal Beach CA 90740-5387
Fax: (562) 493-2135
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3166 California

Profile Details

NPI number 1972541688
LBN Legal business name Gililland, Willard Clay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 26th, 2011 - about 14 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 1972541688 NPPES
California MEDICAID HA0031660

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