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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 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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