Gallup, Douglas R
Gallup, Douglas R is an individual health care provider with primary practice located at 1169 Call Creek,Ste B , Pocatello ID 83201. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gallup, Douglas R can be contacted via phone (208) 232-7780.Contact Information
Primary practice address
1169 Call Creek,Ste B
Pocatello ID 83201
Phone: (208) 232-7780
Fax: (208) 232-7782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC 3309 | Idaho |
Profile Details
| NPI number | 1891845913 |
|---|---|
| LBN Legal business name | Gallup, Douglas R |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 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.
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