Gillham, Seth Brian

Gillham, Seth Brian is an individual health care provider with primary practice located at 401 W Poplar St , Walla Walla WA 99362-2846. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gillham, Seth Brian can be contacted via phone (509) 897-5850.

Contact Information

Primary practice address
401 W Poplar St Walla Walla WA 99362-2846
Phone: (509) 897-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60703695 Washington

Profile Details

NPI number 1588944847
LBN Legal business name Gillham, Seth Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated May 20th, 2021 - about 3 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 1588944847 NPPES
Washington MEDICAID 2069878

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