Gillis, Laura G.

Gillis, Laura G. is an individual health care provider with primary practice located at 1867 Amherst St , Winchester VA 22601-2801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Gillis, Laura G. can be contacted via phone (540) 667-8724.

Contact Information

Primary practice address
1867 Amherst St Winchester VA 22601-2801
Fax: (540) 723-0741
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 0101231039 Virginia

Profile Details

NPI number 1518937317
LBN Legal business name Gillis, Laura G.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Apr 8th, 2010 - about 14 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 1518937317 NPPES
Virginia MEDICAID 005616662

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