Gillis, Victoria A

Gillis, Victoria A is an individual health care provider with primary practice located at 835 Hospital Rd Emergency Department, Indiana PA 15701-0788. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Gillis, Victoria A can be contacted via phone (724) 357-7121.

Contact Information

Primary practice address
835 Hospital Rd Emergency Department Indiana PA 15701-0788
Phone: (724) 357-7121
Fax: (724) 357-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD019650E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD019650E Pennsylvania

Profile Details

NPI number 1396735635
LBN Legal business name Gillis, Victoria A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 7th, 2008 - about 16 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 1396735635 NPPES
Pennsylvania MEDICAID 0005442360004
Pennsylvania Other 000068620
Pennsylvania Other 101608

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