Gillispie, Roy Jack

Gillispie, Roy Jack is an individual health care provider with primary practice located at 5136 Hwy 265 , Branson MO 65616-9099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gillispie, Roy Jack can be contacted via phone (417) 338-0960.

Contact Information

Primary practice address
5136 Hwy 265 Branson MO 65616-9099
Phone: (417) 338-0960
Fax: (417) 338-0968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R2A36 Missouri

Profile Details

NPI number 1023052115
LBN Legal business name Gillispie, Roy Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 1st, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023052115 NPPES
Missouri MEDICAID 201260536
Missouri Other 7500
Missouri Other 080192592

Popular Providers