Individual
ANTHONY MCGILLVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 W STATE ROUTE 571, TIPP CITY, OH 45371-9673
(937) 418-2576
Mailing address
2411 W STATE ROUTE 571, TIPP CITY, OH 45371-9673
(937) 418-2576
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167799
—
OH
Enumeration date
11/30/2020
Last updated
11/30/2020
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