Gilliam, P R
Gilliam, P R is an individual health care provider with primary practice located at 386 Stanley St , Fall River MA 02720-6009. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Gilliam, P R can be contacted via phone (508) 675-1054.Contact Information
Primary practice address
386 Stanley St
Fall River MA 02720-6009
Phone: (508) 675-1054
Fax: (508) 324-7777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | RN2273593 | Massachusetts |
Profile Details
| NPI number | 1689124760 |
|---|---|
| LBN Legal business name | Gilliam, P R |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2016 |
| Last updated | Oct 12th, 2016 - about 9 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 | 1689124760 | NPPES |
| Other | 21600339 | NCBDE |
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