Gallentine, Darla B
Gallentine, Darla B is an individual health care provider with primary practice located at 15400 Los Gatos Blvd , Los Gatos CA 95032-2502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gallentine, Darla B can be contacted via phone (408) 523-3640.Contact Information
Primary practice address
15400 Los Gatos Blvd
Los Gatos CA 95032-2502
Phone: (408) 523-3640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20A16481 | California |
Profile Details
| NPI number | 1629036587 |
|---|---|
| LBN Legal business name | Gallentine, Darla B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Dec 10th, 2018 - about 7 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 | 1629036587 | NPPES |
| South Carolina | MEDICAID | Q0022B | |
| South Carolina | MEDICAID | 89133L1P | |
| South Carolina | MEDICAID | 89133UP |
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