Gallardo, Ignacio L

Gallardo, Ignacio L is an individual health care provider with primary practice located at 1134 N Road St Bldg09, Elizabeth City NC 27909-3365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gallardo, Ignacio L can be contacted via phone (252) 338-9451.

Contact Information

Primary practice address
1134 N Road St Bldg09 Elizabeth City NC 27909-3365
Phone: (252) 338-9451
Fax: (252) 338-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME76744 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME76744 Florida

Profile Details

NPI number 1407896913
LBN Legal business name Gallardo, Ignacio L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 2nd, 2015 - about 11 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 1407896913 NPPES
Florida MEDICAID 254846100
Florida Other 44376

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