Gilliam, Charles H
Gilliam, Charles H is an sole proprietor health care provider with primary practice located at 6500 Quaker Ave Ste E , Lubbock TX 79413-5138. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gilliam, Charles H can be contacted via phone (806) 797-1275.Contact Information
Primary practice address
6500 Quaker Ave Ste E
Lubbock TX 79413-5138
Phone: (806) 797-1275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 12571 | Texas |
Profile Details
| NPI number | 1205972924 |
|---|---|
| LBN Legal business name | Gilliam, Charles H |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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