Gallagher, Susan K

Gallagher, Susan K is an individual health care provider with primary practice located at 545 Valley View Dr , Moline IL 61265-6138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gallagher, Susan K can be contacted via phone (309) 762-5560.

Contact Information

Primary practice address
545 Valley View Dr Moline IL 61265-6138
Phone: (309) 762-5560
Fax: (309) 762-7351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209004834 Illinois

Profile Details

NPI number 1497752752
LBN Legal business name Gallagher, Susan K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 28th, 2014 - about 10 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 1497752752 NPPES
Iowa MEDICAID 1967679

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