Gallegos, Steven

Gallegos, Steven is an individual health care provider with primary practice located at 245 Vine Ave , Las Animas CO 81054. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gallegos, Steven can be contacted via phone (719) 456-2653.

Contact Information

Primary practice address
245 Vine Ave Las Animas CO 81054
Phone: (719) 456-2653
Fax: (719) 456-0105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-10184 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-10184 Colorado

Profile Details

NPI number 1508116989
LBN Legal business name Gallegos, Steven
Credentials ACNP/FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2012
Last updated Sep 1st, 2013 - about 13 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 1508116989 NPPES
Colorado MEDICAID 58304568

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