Gilliland, Michael William
Gilliland, Michael William is an individual health care provider with primary practice located at 1322 3Rd St Se Suite 100, Puyallup WA 98372-3771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gilliland, Michael William can be contacted via phone (253) 697-4128.Contact Information
Primary practice address
1322 3Rd St Se Suite 100
Puyallup WA 98372-3771
Phone: (253) 697-4128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD00042973 | Washington |
Profile Details
| NPI number | 1063426005 |
|---|---|
| LBN Legal business name | Gilliland, Michael William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1063426005 | NPPES |
| Washington | Other | 20202185198372A002 | TRICARE ID |
| Washington | Other | 1322GI | TRICARE ID |
| Washington | MEDICAID | 1119296 | TRICARE ID |
| Washington | Other | P00257376 | TRICARE ID |
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