Gillespie, Stacy S

Gillespie, Stacy S is an individual health care provider with primary practice located at 680 Pellis Rd , Greensburg PA 15601-4453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gillespie, Stacy S can be contacted via phone (724) 832-3104.

Contact Information

Primary practice address
680 Pellis Rd Greensburg PA 15601-4453
Phone: (724) 832-3104
Fax: (724) 832-3689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS007755L Pennsylvania

Profile Details

NPI number 1821009457
LBN Legal business name Gillespie, Stacy S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 11th, 2017 - about 7 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 1821009457 NPPES
Pennsylvania MEDICAID 1020445800002

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