Gallagher, Bradley C

Gallagher, Bradley C is an individual health care provider with primary practice located at 205 Orchard Dr , Sisseton SD 57262-2312. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Gallagher, Bradley C can be contacted via phone (605) 698-7681.

Contact Information

Primary practice address
205 Orchard Dr Sisseton SD 57262-2312
Phone: (605) 698-7681
Fax: (605) 698-3493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9773 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0762 South Dakota

Profile Details

NPI number 1205871266
LBN Legal business name Gallagher, Bradley C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 13th, 2016 - about 10 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 1205871266 NPPES
Minnesota Other 646K8GA BCBS #
Minnesota Other HP40921 BCBS #
Minnesota Other 01-23344 BCBS #
Minnesota Other 171217 BCBS #
Minnesota Other 1033361 BCBS #

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