Gillette, Austin C
Gillette, Austin C is an individual health care provider with primary practice located at 21 Winn Dr , Rexburg ID 83440-5277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gillette, Austin C can be contacted via phone (208) 881-5222.Contact Information
Primary practice address
21 Winn Dr
Rexburg ID 83440-5277
Phone: (208) 881-5222
Fax: (877) 441-4715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-10581 | Idaho |
Profile Details
| NPI number | 1083810287 |
|---|---|
| LBN Legal business name | Gillette, Austin C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Nov 19th, 2019 - about 6 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 | 1083810287 | NPPES |
| Other | 11243745 | AAMC ID |
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