Gallagher, John
Gallagher, John is an individual health care provider with primary practice located at 415 E Madison St , South Bend IN 46617-2322. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Gallagher, John can be contacted via phone (574) 283-1234.Contact Information
Primary practice address
415 E Madison St
South Bend IN 46617-2322
Phone: (574) 283-1234
Fax: (574) 537-2652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001365A | Indiana |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 33006220A | Indiana |
Profile Details
NPI number | 1265616346 |
---|---|
LBN Legal business name | Gallagher, John |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 24th, 2007 |
Last updated | Nov 29th, 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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