Oberholtzer-Gallagher, Larissa Michele

Oberholtzer-Gallagher, Larissa Michele is an individual health care provider with primary practice located at 2 Regency Dr , Clayton CA 94517-1715. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Oberholtzer-Gallagher, Larissa Michele can be contacted via phone (925) 693-0545.

Contact Information

Primary practice address
2 Regency Dr Clayton CA 94517-1715
Phone: (925) 693-0545
Fax: (925) 693-0545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 562922 California

Profile Details

NPI number 1023607017
LBN Legal business name Oberholtzer-Gallagher, Larissa Michele
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - about 3 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 1023607017 NPPES
Other 888 NOT APPLICABLE

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