Gallo, Heidi Ann
Gallo, Heidi Ann is an individual health care provider with primary practice located at 908 Dupont Rd Ste 100 , Louisville KY 40207-4602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gallo, Heidi Ann can be contacted via phone (502) 883-3147.Contact Information
Primary practice address
908 Dupont Rd Ste 100
Louisville KY 40207-4602
Phone: (502) 883-3147
Fax: (502) 891-0028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 3421P | Kentucky |
Profile Details
NPI number | 1104807189 |
---|---|
LBN Legal business name | Gallo, Heidi Ann |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Aug 11th, 2021 - about 3 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 | 1104807189 | NPPES |
Kentucky | Other | K075320 | MEDICARE PTAN |
Kentucky | Other | 000000187104 | MEDICARE PTAN |
Kentucky | Other | 1161890 | MEDICARE PTAN |
Kentucky | Other | 021102300 | MEDICARE PTAN |
Kentucky | Other | 2439614000 | MEDICARE PTAN |
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