Gallagher, Eloina Sandoval

Gallagher, Eloina Sandoval is an individual health care provider with primary practice located at 7415 W Boston St , Chandler AZ 85226-3221. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gallagher, Eloina Sandoval can be contacted via phone (480) 547-1989.

Contact Information

Primary practice address
7415 W Boston St Chandler AZ 85226-3221
Phone: (480) 547-1989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LASAC-13318 Arizona

Profile Details

NPI number 1871264747
LBN Legal business name Gallagher, Eloina Sandoval
Credentials LASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 5 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 1871264747 NPPES
Arizona MEDICAID 072063

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