MARK GILLILAND, M.DIV, Pastoral LANDER, WY

Contact Information

MARK GILLILAND, M.DIV

786 S 3RD ST
LANDER, WY 82520-3710

Phone: 406-210-3388
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pastoral	101YP1600X

Indicates primary specialty

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NPI Profile & details for MARK GILLILAND · (Male)

NPI #	`1720360779`
Status	Active
Credentials	M.DIV
Entity	Individual
Enumeration date	09/15/2011
Last updated	09/15/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	TX License # NONE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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