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Individual
JOHN ALLEN GILLIS
Active
Individual
JOHN ALLEN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000181391
ANTHEM BLUE CROSS / BLUE SHIELD
OH
01
—
04754
PARAMOUNT
OH
01
—
31-1490432-004
MEDICAL MUTUAL
OH
01
—
4598779
AETNA
OH
Enumeration date
11/16/2006
Last updated
07/13/2022
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