Gillum, Scott R
Gillum, Scott R is an individual health care provider with primary practice located at 7925 Youree Dr Suite 200, Shreveport LA 71105-5127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gillum, Scott R can be contacted via phone (318) 212-3610.Contact Information
Primary practice address
7925 Youree Dr Suite 200
Shreveport LA 71105-5127
Phone: (318) 212-3610
Fax: (318) 212-3672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA200106 | Louisiana |
Profile Details
| NPI number | 1114003076 |
|---|---|
| LBN Legal business name | Gillum, Scott R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 14th, 2021 - about 4 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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