Gilliam, Paul Edwin
Gilliam, Paul Edwin is an individual health care provider with primary practice located at 2530 S Telshor Blvd Ste 207, Las Cruces NM 88011-4951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gilliam, Paul Edwin can be contacted via phone (575) 556-6400.Contact Information
Primary practice address
2530 S Telshor Blvd Ste 207
Las Cruces NM 88011-4951
Phone: (575) 556-6400
Fax: (575) 556-6405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 97-247 | New Mexico |
Profile Details
| NPI number | 1659354785 |
|---|---|
| LBN Legal business name | Gilliam, Paul Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Apr 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 | 1659354785 | NPPES |
| New Mexico | MEDICAID | 10827331 | |
| New Mexico | Other | P00905172 |
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