Gilliam, Linda Darlene

Gilliam, Linda Darlene is an individual health care provider with primary practice located at 1555 E New Circle Rd Suite 146, Lexington KY 40509-1043. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Gilliam, Linda Darlene can be contacted via phone (859) 266-3003.

Contact Information

Primary practice address
1555 E New Circle Rd Suite 146 Lexington KY 40509-1043
Fax: (859) 266-9504
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1069 Kentucky

Profile Details

NPI number 1437213519
LBN Legal business name Gilliam, Linda Darlene
Credentials LICENSED OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 9th, 2007 - about 18 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 1437213519 NPPES
Kentucky MEDICAID 52000049

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