Gallagher, Timothy J

Gallagher, Timothy J is an individual health care provider with primary practice located at 9318 State Route 14 , Streetsboro OH 44241-5224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Gallagher, Timothy J can be contacted via phone (330) 422-0916.

Contact Information

Primary practice address
9318 State Route 14 Streetsboro OH 44241-5224
Phone: (330) 422-0916
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-055487 Ohio
Other Service Providers / Specialist 174400000X 35-055487 Ohio

Profile Details

NPI number 1447200076
LBN Legal business name Gallagher, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 23rd, 2020 - 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 1447200076 NPPES
Ohio MEDICAID 0808684

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