Gillette, Marshall
Gillette, Marshall is an individual health care provider with primary practice located at 5540 Raphael Dr , Edinburg TX 78539-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Gillette, Marshall can be contacted via phone (956) 362-6683.Contact Information
Primary practice address
5540 Raphael Dr
Edinburg TX 78539-1407
Phone: (956) 362-6683
Fax: (956) 362-6851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | T2382 | Texas |
Profile Details
| NPI number | 1790172211 |
|---|---|
| LBN Legal business name | Gillette, Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2015 |
| Last updated | Aug 16th, 2021 - about 3 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 | 1790172211 | NPPES |
| Texas | Other | T2382 | TEXAS MEDICAL BOARD LICENSE |
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