Gallup, Tasha

Gallup, Tasha is an individual health care provider with primary practice located at 103 Boulder Point Dr , Plymouth NH 03264-3168. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Gallup, Tasha can be contacted via phone (603) 536-1565.

Contact Information

Primary practice address
103 Boulder Point Dr Plymouth NH 03264-3168
Phone: (603) 536-1565
Fax: (603) 238-2166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0353 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1256 New Hampshire

Profile Details

NPI number 1679973390
LBN Legal business name Gallup, Tasha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2014
Last updated May 11th, 2017 - about 7 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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