Gallo, Elizabeth

Gallo, Elizabeth is an individual health care provider with primary practice located at 1003 Division St Ste 5, Prescott AZ 86301-1657. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Gallo, Elizabeth can be contacted via phone (928) 445-7632.

Contact Information

Primary practice address
1003 Division St Ste 5 Prescott AZ 86301-1657
Phone: (928) 445-7632
Fax: (928) 445-9283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 873988 Arizona

Profile Details

NPI number 1942429618
LBN Legal business name Gallo, Elizabeth
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 12th, 2008 - about 17 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 1942429618 NPPES
Arizona MEDICAID 218901
Arizona Other 873988

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