National Provider Identifier Database

DOUGLAS T GILLIS, DPM – NPI #1689667792
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

DOUGLAS T GILLIS, DPM
780 S WALNUT ST
SUITE 3
LAS CRUCES, NM88001-1425
Phone: 505-525-3980
Fax: 505-526-8529
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS T GILLIS

NPI Number 1689667792
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/24/2005
Last updated 10/29/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 196
  • NM Medicaid: 52993
  • NM Other: NM005364 BC BS
  • NM Other: 0469220001 DMERC
  • NM Other: 16042 PRESBYTERIAN
  • NM Other: 88001A00Z TRICARE WPS
Hospital affiliation n/a

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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