Gillam, Fredrick
Gillam, Fredrick is an sole proprietor health care provider with primary practice located at 815 Exocet Dr Ste 107 , Cordova TN 38018-2257. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gillam, Fredrick can be contacted via phone (901) 230-2409.Contact Information
Primary practice address
815 Exocet Dr Ste 107
Cordova TN 38018-2257
Phone: (901) 230-2409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0000003668 | Tennessee |
Profile Details
| NPI number | 1922512441 |
|---|---|
| LBN Legal business name | Gillam, Fredrick |
| Credentials | LPC-MHSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2017 |
| Last updated | Nov 20th, 2017 - about 7 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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