Gilliotte, Benjamin John

Gilliotte, Benjamin John is an individual health care provider with primary practice located at 30 E Apple St Ste L200, Dayton OH 45409-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gilliotte, Benjamin John can be contacted via phone (937) 208-2020.

Contact Information

Primary practice address
30 E Apple St Ste L200 Dayton OH 45409-2932
Phone: (937) 208-2020
Fax: (937) 208-2109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35.056649 Ohio

Profile Details

NPI number 1184626855
LBN Legal business name Gilliotte, Benjamin John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 15th, 2013 - about 12 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 1184626855 NPPES
Ohio MEDICAID 0703751

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