Gillis, Benjamin David

Gillis, Benjamin David is an sole proprietor health care provider with primary practice located at 5675 Burlingame Ave. Suite A, Wyoming MI 49509-9702. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gillis, Benjamin David can be contacted via phone (616) 538-2200.

Contact Information

Primary practice address
5675 Burlingame Ave. Suite A Wyoming MI 49509-9702
Fax: (616) 301-0419
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008777 Michigan

Profile Details

NPI number 1356567358
LBN Legal business name Gillis, Benjamin David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Nov 8th, 2016 - about 8 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 1356567358 NPPES
Michigan Other 950D113070 BLUE CROSS BLUE SHIELD
Michigan Other ON84880 BLUE CROSS BLUE SHIELD

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