Gallahan, Mary Jane

Gallahan, Mary Jane is an individual health care provider with primary practice located at 622 W Maple Suite B, Farmington NM 87401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gallahan, Mary Jane can be contacted via phone (505) 327-4867.

Contact Information

Primary practice address
622 W Maple Suite B Farmington NM 87401
Phone: (505) 327-4867
Fax: (505) 327-5355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2003-0025 New Mexico

Profile Details

NPI number 1952308694
LBN Legal business name Gallahan, Mary Jane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 10th, 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 1952308694 NPPES
New Mexico Other P00446751 RAILROAD MCRE PTAN
New Mexico MEDICAID 89374878 RAILROAD MCRE PTAN
New Mexico MEDICAID 56576 RAILROAD MCRE PTAN

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