Gilligan, William

Gilligan, William is an individual health care provider with primary practice located at 2 Forest Ave Suite 2 First Floor, Paramus NJ 07652-5246. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gilligan, William can be contacted via phone (201) 587-1111.

Contact Information

Primary practice address
2 Forest Ave Suite 2 First Floor Paramus NJ 07652-5246
Fax: (201) 587-8192
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40QA00376400 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00376400 New Jersey

Profile Details

NPI number 1316940638
LBN Legal business name Gilligan, William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 29th, 2014 - about 11 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 1316940638 NPPES
New Jersey Other 540909 OSSM MCR PTAN
New Jersey Other 064544B81 OSSM MCR PTAN
New Jersey Other P00207378 OSSM MCR PTAN

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