Gilligan, Timothy David

Gilligan, Timothy David is an individual health care provider with primary practice located at 9500 Euclid Ave R35, Cleveland OH 44195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gilligan, Timothy David can be contacted via phone (216) 444-0391.

Contact Information

Primary practice address
9500 Euclid Ave R35 Cleveland OH 44195-0001
Phone: (216) 444-0391
Fax: (216) 636-1711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.086452 Ohio
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35.086452 Ohio

Profile Details

NPI number 1912998113
LBN Legal business name Gilligan, Timothy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 27th, 2011 - about 15 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 1912998113 NPPES
Ohio MEDICAID 2583708
Ohio MEDICAID 120-1514

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