Gillota, John William
Gillota, John William is an sole proprietor health care provider with primary practice located at 2614 Remsen Road , Medina OH 44256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gillota, John William can be contacted via phone (330) 239-2686.Contact Information
Primary practice address
2614 Remsen Road
Medina OH 44256
Phone: (330) 239-2686
Fax: (330) 239-3720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-001536 | Ohio |
Profile Details
| NPI number | 1023132883 |
|---|---|
| LBN Legal business name | Gillota, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1023132883 | NPPES |
| Ohio | MEDICAID | G10014331 |
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