Gillen, Deniel

Gillen, Deniel is an individual health care provider with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gillen, Deniel can be contacted via phone (417) 831-0150.

Contact Information

Primary practice address
440 E Tampa St Springfield MO 65806-1131
Phone: (417) 831-0150
Fax: (417) 865-3479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2019006211 Missouri

Profile Details

NPI number 1225596182
LBN Legal business name Gillen, Deniel
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2019
Last updated Mar 10th, 2019 - 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 1225596182 NPPES
Missouri Other 2019006211 MISSOURI LICENSE

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