Gallagher-Gonzales, Michaela C

Gallagher-Gonzales, Michaela C is an individual health care provider with primary practice located at 2212 Brothers Rd , Santa Fe NM 87505-6903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gallagher-Gonzales, Michaela C can be contacted via phone (502) 983-9460.

Contact Information

Primary practice address
2212 Brothers Rd Santa Fe NM 87505-6903
Phone: (502) 983-9460
Fax: (505) 983-0568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X NM 94 PA 34 New Mexico

Profile Details

NPI number 1407904832
LBN Legal business name Gallagher-Gonzales, Michaela C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 7th, 2023 - about last year

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 1407904832 NPPES
New Mexico Other NM 94 PA 34 MEDICAL LICENSE

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