Mair, Gillian Electa
Mair, Gillian Electa is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mair, Gillian Electa can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35061091M | Ohio |
Profile Details
| NPI number | 1972562478 |
|---|---|
| LBN Legal business name | Mair, Gillian Electa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Apr 23rd, 2008 - about 16 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 | 1972562478 | NPPES |
| New Mexico | MEDICAID | 000R4699 | |
| New Mexico | MEDICAID | 416744 |
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