Gillard, Stephen Craig
Gillard, Stephen Craig is an individual health care provider with primary practice located at 51 Obery St , Plymouth MA 02360-2129. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gillard, Stephen Craig can be contacted via phone (508) 732-6770.Contact Information
Primary practice address
51 Obery St
Plymouth MA 02360-2129
Phone: (508) 732-6770
Fax: (508) 732-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 80236 | Massachusetts |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 80236 | Massachusetts |
Profile Details
| NPI number | 1437166881 |
|---|---|
| LBN Legal business name | Gillard, Stephen Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 16th, 2020 - about 5 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 | 1437166881 | NPPES |
| Massachusetts | Other | J19168 | BCBS |
| Massachusetts | Other | 28167 | BCBS |
| Massachusetts | MEDICAID | 3184340 | BCBS |
| Massachusetts | Other | 080236 | BCBS |
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