Gillin, Rose M

Gillin, Rose M is an sole proprietor health care provider with primary practice located at 400 W Lincoln Ave , Goshen IN 46526-2413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gillin, Rose M can be contacted via phone (574) 534-4744.

Contact Information

Primary practice address
400 W Lincoln Ave Goshen IN 46526-2413
Fax: (574) 537-1186
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01040912A Indiana

Profile Details

NPI number 1437192796
LBN Legal business name Gillin, Rose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jun 10th, 2022 - about 3 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 1437192796 NPPES
Other P00090607 RAILROAD MEDICARE PIN
Other 000000500568 RAILROAD MEDICARE PIN
MEDICAID 100354290 RAILROAD MEDICARE PIN

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