Gillespie, Samuel Nixon
Gillespie, Samuel Nixon is an individual health care provider with primary practice located at 94 Medical Cir , Moulton AL 35650-1256. He recently has 9 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gillespie, Samuel Nixon can be contacted via phone (256) 974-9216.Contact Information
Primary practice address
94 Medical Cir
Moulton AL 35650-1256
Phone: (256) 974-9216
Fax: (256) 974-8211
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | 12662 | Alabama |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 12662 | Alabama |
Profile Details
NPI number | 1184612095 |
---|---|
LBN Legal business name | Gillespie, Samuel Nixon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Mar 7th, 2023 - about 2 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 | 1184612095 | NPPES |
Alabama | Other | 12662 | MEDICAL LICENSE |
Alabama | Other | 00012662 | MEDICAL LICENSE |
Alabama | Other | 01D0302603 | MEDICAL LICENSE |
Alabama | MEDICAID | 529402270 | MEDICAL LICENSE |
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