Gallun, Maryellen
Gallun, Maryellen is an individual health care provider with primary practice located at 677 E State St , Burlington WI 53105-1639. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gallun, Maryellen can be contacted via phone (262) 763-9531.Contact Information
Primary practice address
677 E State St
Burlington WI 53105-1639
Phone: (262) 763-9531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2901-026 | Wisconsin |
Profile Details
NPI number | 1437359262 |
---|---|
LBN Legal business name | Gallun, Maryellen |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2007 |
Last updated | Jul 19th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437359262 | NPPES |
Wisconsin | MEDICAID | 41035700 |
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