Gillette, Dirk

Gillette, Dirk is an individual health care provider with primary practice located at 1287 Burns Way , Kalispell MT 59901-3109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gillette, Dirk can be contacted via phone (406) 752-8120.

Contact Information

Primary practice address
1287 Burns Way Kalispell MT 59901-3109
Phone: (406) 752-8120
Fax: (406) 752-8134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 282 Montana

Profile Details

NPI number 1508805920
LBN Legal business name Gillette, Dirk
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 27th, 2023 - about last year

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 1508805920 NPPES
Other 1053124 NCCPA
Other 1508805920 NCCPA
MEDICAID 1508805920 NCCPA

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