Gillham, Gary T

Gillham, Gary T is an individual health care provider with primary practice located at 1229 E Seminole St Suite 420, Springfield MO 65804-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gillham, Gary T can be contacted via phone (417) 820-9393.

Contact Information

Primary practice address
1229 E Seminole St Suite 420 Springfield MO 65804-2227
Phone: (417) 820-9393
Fax: (417) 820-9725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36122133 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2008023553 Missouri

Profile Details

NPI number 1245386333
LBN Legal business name Gillham, Gary T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 29th, 2015 - about 9 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 1245386333 NPPES
Missouri MEDICAID PENDING

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