Gallaher, Nathaniel Dean

Gallaher, Nathaniel Dean is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Gallaher, Nathaniel Dean can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Utah

Profile Details

NPI number 1841705704
LBN Legal business name Gallaher, Nathaniel Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 2017 - about 8 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 1841705704 NPPES
Utah Other 000055266 MEDICARE PIN
Utah MEDICAID 876000300080007 MEDICARE PIN

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