Gilliam, Haywood S
Gilliam, Haywood S is an individual health care provider with primary practice located at 202 So Park St Meriter Hospital, Madison WI 53715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gilliam, Haywood S can be contacted via phone (608) 417-6387.Contact Information
Primary practice address
202 So Park St Meriter Hospital
Madison WI 53715
Phone: (608) 417-6387
Fax: (608) 417-6198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 30734 | Wisconsin |
Profile Details
| NPI number | 1316902091 |
|---|---|
| LBN Legal business name | Gilliam, Haywood S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 25th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316902091 | NPPES |
| Wisconsin | MEDICAID | 31533000 |
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