Lillvis, Greg A.

Lillvis, Greg A. is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Lillvis, Greg A. can be contacted via phone (614) 293-8487.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67.000181 Ohio

Profile Details

NPI number 1184915894
LBN Legal business name Lillvis, Greg A.
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Oct 3rd, 2018 - about 6 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 1184915894 NPPES
Ohio MEDICAID 0050021

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