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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396735635 | NPPES |
Pennsylvania | MEDICAID | 0005442360004 | |
Pennsylvania | Other | 000068620 | |
Pennsylvania | Other | 101608 |
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