Gagliano, Jeffrey R

Gagliano, Jeffrey R is an individual health care provider with primary practice located at 4820 Riverbend Rd Ste 200 , Boulder CO 80301-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gagliano, Jeffrey R can be contacted via phone (303) 665-0286.

Contact Information

Primary practice address
4820 Riverbend Rd Ste 200 Boulder CO 80301-2618
Fax: (303) 666-5112
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A86240 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 45465 Colorado

Profile Details

NPI number 1649301631
LBN Legal business name Gagliano, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649301631 NPPES
Montana MEDICAID 1649301631
Montana MEDICAID 1649301631
Montana MEDICAID 800021
Montana MEDICAID 98025350

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