Gilliam, David

Gilliam, David is an individual health care provider with primary practice located at 620 8Th Ave , Terre Haute IN 47804-2771. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gilliam, David can be contacted via phone (812) 231-8200.

Contact Information

Primary practice address
620 8Th Ave Terre Haute IN 47804-2771
Phone: (812) 231-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17454 Kentucky
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 44240 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17454 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01040990A Indiana

Profile Details

NPI number 1245290733
LBN Legal business name Gilliam, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 27th, 2020 - about 4 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 1245290733 NPPES
Kentucky MEDICAID 64174343

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