Organization
RAYMOND GILLIGAN JR
Active
Organization
RAYMOND GILLIGAN JR
Active
Other names
Ak prosthetics and orthotics, RAYMOND GILLIGAN JR
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIE H WOODWARD (OFFICE MANAGER)
(907) 455-9255
Entity
Organization
Contact information
Practice address
3517 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7737
(907) 455-9255
(907) 452-1789
Mailing address
3517 INDUSTRIAL AVE, FAIRBANKS, AK 99701-7737
(907) 455-9255
(907) 452-1789
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110253
BUSINESS LICENCE
AK
Enumeration date
03/04/2019
Last updated
07/05/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up