Individual
MR. TRENT GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1198 STATE ROAD 46 E, BATESVILLE, IN 47006-9232
(855) 600-6251
(855) 600-6386
Mailing address
1198 STATE ROAD 46 E, BATESVILLE, IN 47006-9232
(855) 600-6251
(855) 600-6386
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100295890A
—
IN
Enumeration date
10/23/2018
Last updated
10/23/2018
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