Gallaher, Regan S
Gallaher, Regan S is an individual health care provider with primary practice located at 2200 Ada Ave Ste 305 , Conway AR 72034-4986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gallaher, Regan S can be contacted via phone (501) 932-0352.Contact Information
Primary practice address
2200 Ada Ave Ste 305
Conway AR 72034-4986
Phone: (501) 932-0352
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | E3374 | Arkansas |
Profile Details
NPI number | 1992721880 |
---|---|
LBN Legal business name | Gallaher, Regan S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Jul 26th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992721880 | NPPES |
Arkansas | Other | P00301757 | RR MCR |
Arkansas | Other | 5M327 | RR MCR |
Arkansas | MEDICAID | 149280001 | RR MCR |
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