Gallego, Carlos J

Gallego, Carlos J is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gallego, Carlos J can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60310185 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.130222 Ohio
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD60310185 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.130222 Ohio

Profile Details

NPI number 1417161977
LBN Legal business name Gallego, Carlos J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated May 5th, 2023 - about 3 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 1417161977 NPPES
Washington Other P01696169 RR PTAN WVH
Washington MEDICAID 0206321 RR PTAN WVH

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