Gillespie, Michael Wade

Gillespie, Michael Wade is an sole proprietor health care provider with primary practice located at 101 Brookside Drive , Walla Walla WA 99362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gillespie, Michael Wade can be contacted via phone (509) 525-1890.

Contact Information

Primary practice address
101 Brookside Drive Walla Walla WA 99362
Phone: (509) 525-1890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14620 Washington

Profile Details

NPI number 1538597935
LBN Legal business name Gillespie, Michael Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2013
Last updated Oct 22nd, 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 1538597935 NPPES
Washington MEDICAID 1304203

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