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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1407896913 | NPPES |
| Florida | MEDICAID | 254846100 | |
| Florida | Other | 44376 |
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