Gallant, Roger D

Gallant, Roger D is an individual health care provider with primary practice located at 1144 N Road St , Elizabeth City NC 27909-3353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gallant, Roger D can be contacted via phone (330) 493-4443.

Contact Information

Primary practice address
1144 N Road St Elizabeth City NC 27909-3353
Phone: (330) 493-4443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200300979 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C54770 California

Profile Details

NPI number 1215077102
LBN Legal business name Gallant, Roger D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Mar 23rd, 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 1215077102 NPPES
North Carolina MEDICAID 89135R9

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