Gilliland, Samuel Thomas

Gilliland, Samuel Thomas is an individual health care provider with primary practice located at Naval Hospital Jacksonville 2080 Child St, Jacksonville FL 32214-5000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gilliland, Samuel Thomas can be contacted via phone (904) 542-3500.

Contact Information

Primary practice address
Naval Hospital Jacksonville 2080 Child St Jacksonville FL 32214-5000
Phone: (904) 542-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1679540645
LBN Legal business name Gilliland, Samuel Thomas
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 30th, 2012 - about 13 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 1679540645 NPPES
Other 1710I1002X INDEPENDENT DUTY CORPSMAN

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