Gillespie, Curtis
Gillespie, Curtis is an sole proprietor health care provider with primary practice located at 3162 El Camino Dr , Springfield OH 45503-1318. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gillespie, Curtis can be contacted via phone (937) 342-9030.Contact Information
Primary practice address
3162 El Camino Dr
Springfield OH 45503-1318
Phone: (937) 342-9030
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.964481 | Ohio |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.0001350-SUPV | Ohio |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.0001981-SUPV | Ohio |
Profile Details
NPI number | 1134110117 |
---|---|
LBN Legal business name | Gillespie, Curtis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2005 |
Last updated | Jun 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134110117 | NPPES |
Ohio | Other | 197082000 | MAGELLAN |
Ohio | Other | 000000004375 | MAGELLAN |
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