Provider Demographics
NPI:1801086152
Name:HAROLD A GILLESPIE II
Entity type:Organization
Organization Name:HAROLD A GILLESPIE II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:740-743-2039
Mailing Address - Street 1:PO BOX 739
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:OH
Mailing Address - Zip Code:43783-0739
Mailing Address - Country:US
Mailing Address - Phone:740-743-2039
Mailing Address - Fax:740-743-1283
Practice Address - Street 1:313 NORTH DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:OH
Practice Address - Zip Code:43783
Practice Address - Country:US
Practice Address - Phone:740-743-2039
Practice Address - Fax:740-743-1283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-2591-G207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty