Gallus, Patrick J.

Gallus, Patrick J. is an individual health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gallus, Patrick J. can be contacted via phone (928) 445-2700.

Contact Information

Primary practice address
1003 Willow Creek Rd Prescott AZ 86301-1641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 3273 Arizona

Profile Details

NPI number 1902861479
LBN Legal business name Gallus, Patrick J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1902861479 NPPES
Arizona MEDICAID 535148

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