Raymond Gilligan Jr

LBN: Raymond Gilligan Jr
Raymond Gilligan Jr is an health care organization with primary practice located at 3517 Industrial Ave , Fairbanks AK 99701-7737. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Raymond Gilligan Jr can be contacted via phone (907) 455-9255, or through Woodward, Emilie H via phone (907) 455-9255.

Contact Information

Primary practice address
3517 Industrial Ave Fairbanks AK 99701-7737
Phone: (907) 455-9255
Fax: (907) 452-1789
Website:
Map and Directions
Authorized official contact:
Name: Woodward, Emilie H
Phone: (907) 455-9255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1326506882
LBN Legal business name Raymond Gilligan Jr
DBA Doing business as Raymond Gilligan Jr
Authorized official Woodward, Emilie H
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2019
Last updated Jul 5th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326506882 NPPES
Alaska Other 1110253 BUSINESS LICENCE

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