Gillis, Allen Dean

Gillis, Allen Dean is an individual health care provider with primary practice located at 209 W 7Th St , Coffeyville KS 67337-4903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gillis, Allen Dean can be contacted via phone (620) 251-1100.

Contact Information

Primary practice address
209 W 7Th St Coffeyville KS 67337-4903
Fax: (620) 251-7466
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-17406 Kansas

Profile Details

NPI number 1699753830
LBN Legal business name Gillis, Allen Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 16th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699753830 NPPES
Kansas Other 009626 BLUE CROSS BLUE SHIELD

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