Gallagher, Eloina Sandoval
Gallagher, Eloina Sandoval is an individual health care provider with primary practice located at 7415 W Boston St , Chandler AZ 85226-3221. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gallagher, Eloina Sandoval can be contacted via phone (480) 547-1989.Contact Information
Primary practice address
7415 W Boston St
Chandler AZ 85226-3221
Phone: (480) 547-1989
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LASAC-13318 | Arizona |
Profile Details
NPI number | 1871264747 |
---|---|
LBN Legal business name | Gallagher, Eloina Sandoval |
Credentials | LASAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2021 |
Last updated | Sep 21st, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871264747 | NPPES |
Arizona | MEDICAID | 072063 |
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