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
Fax: (508) 732-2129
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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