Gallant, Beth Card

Gallant, Beth Card is an individual health care provider with primary practice located at 3369 Ne Stephens St Ste 100 , Roseburg OR 97470-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gallant, Beth Card can be contacted via phone (541) 677-6116.

Contact Information

Primary practice address
3369 Ne Stephens St Ste 100 Roseburg OR 97470-1200
Fax: (541) 957-5181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO162858 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS11705 Florida

Profile Details

NPI number 1922381565
LBN Legal business name Gallant, Beth Card
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2011
Last updated Apr 1st, 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 1922381565 NPPES
Oregon MEDICAID 1447421250

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