Gillespie, Mark E
Gillespie, Mark E is an individual health care provider with primary practice located at 4630 Village Square Dr , Paducah KY 42001-7502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gillespie, Mark E can be contacted via phone (270) 442-1671.Contact Information
Primary practice address
4630 Village Square Dr
Paducah KY 42001-7502
Phone: (270) 442-1671
Fax: (270) 442-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME148468 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24107 | Kentucky |
Profile Details
| NPI number | 1942277280 |
|---|---|
| LBN Legal business name | Gillespie, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Apr 4th, 2022 - about 3 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 | 1942277280 | NPPES |
| Other | 000000044961 | ANTHEM BCBS | |
| MEDICAID | 0470581032 | ANTHEM BCBS | |
| Other | 180011413 | ANTHEM BCBS | |
| MEDICAID | 64241078 | ANTHEM BCBS | |
| Other | 610706763 | ANTHEM BCBS | |
| MEDICAID | 7100053130 | ANTHEM BCBS |
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