Gallagher, Isidora P

Gallagher, Isidora P is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gallagher, Isidora P can be contacted via phone (505) 841-1819.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Fax: (505) 724-7673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9659 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 96-59 New Mexico

Profile Details

NPI number 1528065570
LBN Legal business name Gallagher, Isidora P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Apr 13th, 2016 - about 8 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 1528065570 NPPES
New Mexico MEDICAID 000K0645

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