Gilles, Gregg A.

Gilles, Gregg A. is an individual health care provider with primary practice located at 2025 Morse Ave , Sacramento CA 95825-2115. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gilles, Gregg A. can be contacted via phone (916) 973-5000.

Contact Information

Primary practice address
2025 Morse Ave Sacramento CA 95825-2115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3547 California

Profile Details

NPI number 1013095702
LBN Legal business name Gilles, Gregg A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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 1013095702 NPPES
California MEDICAID 000E35470

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