Gillis, Tiffany

Gillis, Tiffany is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gillis, Tiffany can be contacted via phone (484) 628-3637.

Contact Information

Primary practice address
420 S 5Th Ave West Reading PA 19611-2143
Phone: (484) 628-3637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD431599 Pennsylvania

Profile Details

NPI number 1871709360
LBN Legal business name Gillis, Tiffany
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Mar 29th, 2018 - about 6 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 1871709360 NPPES
Pennsylvania MEDICAID 101991727

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