Gillenwater, David

Gillenwater, David is an individual health care provider with primary practice located at 3515 Broadway Ave , Great Bend KS 67530-3633. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gillenwater, David can be contacted via phone (620) 792-2511.

Contact Information

Primary practice address
3515 Broadway Ave Great Bend KS 67530-3633
Phone: (620) 792-2511
Fax: (316) 652-0340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0421903 Kansas
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 0421903 Kansas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 0421903 Kansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0421903 Kansas

Profile Details

NPI number 1427026384
LBN Legal business name Gillenwater, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 3rd, 2008 - about 17 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 1427026384 NPPES
Kansas Other 045282 BCBS
Kansas Other 050022332 BCBS
Kansas MEDICAID 100142910A BCBS
Kansas Other 481129529 BCBS

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