Gallegos, Elizabeth Denise

Gallegos, Elizabeth Denise is an sole proprietor health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Gallegos, Elizabeth Denise can be contacted via phone (225) 769-9797.

Contact Information

Primary practice address
5000 Hennessy Blvd Baton Rouge LA 70808-4375
Phone: (225) 769-9797
Fax: (225) 769-4228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G069197 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0070878 Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 13364R Louisiana
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 16977 Mississippi

Profile Details

NPI number 1477653673
LBN Legal business name Gallegos, Elizabeth Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Apr 21st, 2011 - about 14 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 1477653673 NPPES
Louisiana MEDICAID 1568741

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