Gilman, Lee Elliot

Gilman, Lee Elliot is an sole proprietor health care provider with primary practice located at 5200 Eastern Ave Bldg East2Nd , Baltimore MD 21224-2734. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Gilman, Lee Elliot can be contacted via phone (410) 550-2999.

Contact Information

Primary practice address
5200 Eastern Ave Bldg East2Nd Baltimore MD 21224-2734
Phone: (410) 550-2999
Fax: (410) 367-2442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R209821 Maryland
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X XG4336702 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R209821 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R209821 Maryland

Profile Details

NPI number 1033644554
LBN Legal business name Gilman, Lee Elliot
Credentials MSN-AGNP, NP-C, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Mar 7th, 2023 - about last year

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 1033644554 NPPES
Maryland MEDICAID 126407960
Maryland Other R209821

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