Gilmore, David A

Gilmore, David A is an sole proprietor health care provider with primary practice located at 510 S 4Th St , Fulton NY 13069-2904. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Gilmore, David A can be contacted via phone (315) 555-5555.

Contact Information

Primary practice address
510 S 4Th St Fulton NY 13069-2904
Phone: (315) 555-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 001033 New York
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A204316 New York

Profile Details

NPI number 1346328911
LBN Legal business name Gilmore, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 31st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346328911 NPPES
New York MEDICAID 02379335
New York Other 5903572
New York Other 000918142003
New York Other 204316-4 W

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