Individual
DOUGLAS BURTON GILLESPIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 OHIO BLVD, TERRE HAUTE, IN 47803-2122
(812) 234-1938
(812) 238-7837
Mailing address
2010 OHIO BLVD, TERRE HAUTE, IN 47803-2122
(812) 234-1938
(812) 238-7837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01029184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089600
ANTHEM
—
01
—
01393
CIGNA
—
01
—
0182827
US DEPT OF LABOR
—
01
—
111276
HEALTHLINK
—
01
—
351904269178
CARESOURCE MEDICAID
—
01
—
4062053
AETNA ASSIGNED
—
Enumeration date
08/21/2006
Last updated
09/27/2007
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