Gillespie, Shawn D
Gillespie, Shawn D is an individual health care provider with primary practice located at 2281 W 24Th St Ste 14, Yuma AZ 85364-6154. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Gillespie, Shawn D can be contacted via phone (928) 314-0030.Contact Information
Primary practice address
2281 W 24Th St Ste 14
Yuma AZ 85364-6154
Phone: (928) 314-0030
Fax: (928) 314-0040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
NPI number | 1154525764 |
---|---|
LBN Legal business name | Gillespie, Shawn D |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1154525764 | NPPES |
Arizona | Other | AZ0278110 | BLUE CROSS |
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