Gilley, David A
Gilley, David A is an individual health care provider with primary practice located at 679 E County Line Rd , Greenwood IN 46143-1049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gilley, David A can be contacted via phone (317) 890-2000.Contact Information
Primary practice address
679 E County Line Rd
Greenwood IN 46143-1049
Phone: (317) 890-2000
Fax: (317) 859-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01069762A | Indiana |
Profile Details
| NPI number | 1871750455 |
|---|---|
| LBN Legal business name | Gilley, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Jan 19th, 2024 - about 10 months 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 | 1871750455 | NPPES |
| Indiana | Other | 000001010668 | ANTHEM |
| Indiana | MEDICAID | 201082900 | ANTHEM |
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