Gilliam, David Roy
Gilliam, David Roy is an sole proprietor health care provider with primary practice located at 1620 Pennsylvannia Ave Ste C, Fairfield CA 94533-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilliam, David Roy can be contacted via phone (707) 428-4878.Contact Information
Primary practice address
1620 Pennsylvannia Ave Ste C
Fairfield CA 94533-3509
Phone: (707) 428-4878
Fax: (707) 428-0806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G36497 | California |
Profile Details
| NPI number | 1376526236 |
|---|---|
| LBN Legal business name | Gilliam, David Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jun 27th, 2014 - about 10 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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