Gilley, Craig Leilon

Gilley, Craig Leilon is an individual health care provider with primary practice located at 4909 S Coast Hwy Ste 1 , South Beach OR 97366-9667. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gilley, Craig Leilon can be contacted via phone (541) 574-5960.

Contact Information

Primary practice address
4909 S Coast Hwy Ste 1 South Beach OR 97366-9667
Phone: (541) 574-5960
Fax: (541) 867-6548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962612077
LBN Legal business name Gilley, Craig Leilon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Aug 11th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962612077 NPPES
Other 1992755664 GROUP NPI

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