Gallagher, Lisa Marie

Gallagher, Lisa Marie is an sole proprietor health care provider with primary practice located at 41 Great River Dr , Sound Beach NY 11789-2032. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gallagher, Lisa Marie can be contacted via phone (631) 744-2853.

Contact Information

Primary practice address
41 Great River Dr Sound Beach NY 11789-2032
Phone: (631) 744-2853
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 234650-1 New York

Profile Details

NPI number 1467787689
LBN Legal business name Gallagher, Lisa Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2009
Last updated Oct 6th, 2009 - about 16 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 1467787689 NPPES
New York MEDICAID 01521517

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