Gollogly, Heidrun
Gollogly, Heidrun is an individual health care provider with primary practice located at 5565 Grossmont Center Dr Ste 3 , La Mesa CA 91942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gollogly, Heidrun can be contacted via phone (619) 463-0331.Contact Information
Primary practice address
5565 Grossmont Center Dr Ste 3
La Mesa CA 91942
Phone: (619) 463-0331
Fax: (619) 463-0138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 105611 | Minnesota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 54428 | Minnesota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 134761 | California |
Profile Details
| NPI number | 1477879823 |
|---|---|
| LBN Legal business name | Gollogly, Heidrun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Aug 4th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477879823 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED |
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