Gallagher Tataru, Colleen G

Gallagher Tataru, Colleen G is an individual health care provider with primary practice located at 38401 Mentor Ave. Unit 7301, Willoughby OH 44094-1912. 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 Tataru, Colleen G can be contacted via phone (440) 478-9340.

Contact Information

Primary practice address
38401 Mentor Ave. Unit 7301 Willoughby OH 44094-1912
Phone: (440) 478-9340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN179085 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101340 West Virginia

Profile Details

NPI number 1861417909
LBN Legal business name Gallagher Tataru, Colleen G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 11th, 2018 - about 6 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 1861417909 NPPES
Michigan Other 104335207 MICHIGAN MEDICAID
Michigan Other 341877986020 MICHIGAN MEDICAID
Michigan Other 000000230250 MICHIGAN MEDICAID
Michigan Other 430055991 MICHIGAN MEDICAID
Michigan Other 341877986019 MICHIGAN MEDICAID
Michigan MEDICAID 0927662 MICHIGAN MEDICAID

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