Gallentine, Michael Lee

Gallentine, Michael Lee is an individual health care provider with primary practice located at 920 S Hebron Ave , Evansville IN 47714-4086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gallentine, Michael Lee can be contacted via phone (812) 473-1111.

Contact Information

Primary practice address
920 S Hebron Ave Evansville IN 47714-4086
Phone: (812) 473-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20757 Nebraska

Profile Details

NPI number 1356311583
LBN Legal business name Gallentine, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 22nd, 2022 - about 2 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 1356311583 NPPES
Nebraska MEDICAID 100255040-00

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