Gallimore, Amanda

Gallimore, Amanda is an individual health care provider with primary practice located at 1241 Gatewood Rd , Newport News VA 23601-2313. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gallimore, Amanda can be contacted via phone (757) 591-4963.

Contact Information

Primary practice address
1241 Gatewood Rd Newport News VA 23601-2313
Phone: (757) 591-4963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0813000729 Virginia

Profile Details

NPI number 1104328434
LBN Legal business name Gallimore, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2018
Last updated Mar 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104328434 NPPES
Virginia MEDICAID 0813000729

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