Gillespie, Andrew

Gillespie, Andrew is an individual health care provider with primary practice located at 65 Messimer Dr , Newark OH 43055-1874. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gillespie, Andrew can be contacted via phone (740) 522-8477.

Contact Information

Primary practice address
65 Messimer Dr Newark OH 43055-1874
Phone: (740) 522-8477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0031525-S Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 111012-CS Ohio

Profile Details

NPI number 1871914689
LBN Legal business name Gillespie, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Dec 20th, 2013 - about 11 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 1871914689 NPPES
Ohio Other 111012-CS LICDC-CS
Ohio Other I.0031525-S LICDC-CS
Ohio MEDICAID 0200008 LICDC-CS

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