Gallick, David J

Gallick, David J is an individual health care provider with primary practice located at 93 Campus Ave , Lewiston ME 04240-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gallick, David J can be contacted via phone (207) 777-8400.

Contact Information

Primary practice address
93 Campus Ave Lewiston ME 04240-6030
Phone: (207) 777-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 011902 Maine

Profile Details

NPI number 1184792947
LBN Legal business name Gallick, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 14th, 2012 - 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 1184792947 NPPES
Maine MEDICAID 310130099

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