Gallagher, Brenna Joe

Gallagher, Brenna Joe is an individual health care provider with primary practice located at 414 Benson Ave Ne Apt 1444 , Grand Rapids MI 49503-0023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Gallagher, Brenna Joe can be contacted via phone (586) 784-8743.

Contact Information

Primary practice address
414 Benson Ave Ne Apt 1444 Grand Rapids MI 49503-0023
Phone: (586) 784-8743
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 81392 Michigan

Profile Details

NPI number 1891350153
LBN Legal business name Gallagher, Brenna Joe
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated May 2nd, 2019 - about 5 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 1891350153 NPPES
Michigan Other 81392 NCTRS
Michigan Other MI000023438 NCTRS

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