Gallagher, John Thomas

Gallagher, John Thomas is an individual health care provider with primary practice located at 6100 Newport Rd Suite 222, Portage MI 49002-9235. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Gallagher, John Thomas can be contacted via phone (269) 324-1248.

Contact Information

Primary practice address
6100 Newport Rd Suite 222 Portage MI 49002-9235
Phone: (269) 324-1248
Fax: (269) 324-1263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301000929 Michigan

Profile Details

NPI number 1750472387
LBN Legal business name Gallagher, John Thomas
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750472387 NPPES
Michigan Other 680C94538 BLUE CROSS BLUE SHIELD

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