Gillham, Martha

Gillham, Martha is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gillham, Martha can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
4545 Cordata Pkwy Bellingham WA 98226-7123
Phone: (360) 738-2200
Fax: (360) 752-5683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00035167 Washington

Profile Details

NPI number 1275532699
LBN Legal business name Gillham, Martha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 30th, 2010 - about 14 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 1275532699 NPPES
Washington MEDICAID 1275532699
Washington Other 0229852
Washington Other 4397GI
Washington Other 5567716

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