Gillingham, Erin

Gillingham, Erin is an sole proprietor health care provider with primary practice located at 919 2Nd St Ne , Canton OH 44704-1132. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gillingham, Erin can be contacted via phone (330) 454-7917.

Contact Information

Primary practice address
919 2Nd St Ne Canton OH 44704-1132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578798070
LBN Legal business name Gillingham, Erin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - 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 1578798070 NPPES
Ohio MEDICAID 0290822

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