Gillette, Phillip Randall
Gillette, Phillip Randall is an sole proprietor health care provider with primary practice located at 1088 Industrial Pkwy , Saraland AL 36571-3720. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Gillette, Phillip Randall can be contacted via phone (251) 675-3666.Contact Information
Primary practice address
1088 Industrial Pkwy
Saraland AL 36571-3720
Phone: (251) 675-3666
Fax: (251) 675-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1629170360 |
|---|---|
| LBN Legal business name | Gillette, Phillip Randall |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Feb 8th, 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 | 1629170360 | NPPES |
| Alabama | Other | 51059805 | BLUE CROSS |
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