Gillette, Bruce E
Gillette, Bruce E is an individual health care provider with primary practice located at 300 13Th Ave W Ste 1 , Dickinson ND 58601-4875. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gillette, Bruce E can be contacted via phone (701) 227-7580.Contact Information
Primary practice address
300 13Th Ave W Ste 1
Dickinson ND 58601-4875
Phone: (701) 227-7580
Fax: (701) 227-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1378 | North Dakota |
Profile Details
| NPI number | 1053578005 |
|---|---|
| LBN Legal business name | Gillette, Bruce E |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Nov 28th, 2008 - 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 | 1053578005 | NPPES |
| North Dakota | MEDICAID | 54523 |
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