Gallinis, Jordan Lynne
Gallinis, Jordan Lynne is an individual health care provider with primary practice located at 511 Windsor Dr , Stillwater OK 74074-6962. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gallinis, Jordan Lynne can be contacted via phone (405) 707-0900.Contact Information
Primary practice address
511 Windsor Dr
Stillwater OK 74074-6962
Phone: (405) 707-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4896 | Oklahoma |
Profile Details
| NPI number | 1184110298 |
|---|---|
| LBN Legal business name | Gallinis, Jordan Lynne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Nov 18th, 2022 - about 4 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 | 1184110298 | NPPES |
| Other | 2000033232 | ATHLETIC TRAINING CERTIFICATION |
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