Gallagher, Isidora P
Gallagher, Isidora P is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gallagher, Isidora P can be contacted via phone (505) 841-1819.Contact Information
Primary practice address
1100 Central Ave Se
Albuquerque NM 87106-4930
Phone: (505) 841-1819
Fax: (505) 724-7673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9659 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 96-59 | New Mexico |
Profile Details
| NPI number | 1528065570 |
|---|---|
| LBN Legal business name | Gallagher, Isidora P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528065570 | NPPES |
| New Mexico | MEDICAID | 000K0645 |
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