Gallagher, Jason R

Gallagher, Jason R is an individual health care provider with primary practice located at 1133 College Ave Ste G-210, Manhattan KS 66502-2770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gallagher, Jason R can be contacted via phone (785) 537-9030.

Contact Information

Primary practice address
1133 College Ave Ste G-210 Manhattan KS 66502-2770
Phone: (785) 537-9030
Fax: (785) 537-3334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 04 28681 Kansas

Profile Details

NPI number 1770668311
LBN Legal business name Gallagher, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 9th, 2012 - about 13 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 1770668311 NPPES
Kansas MEDICAID 100367180A
Kansas Other 058515

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