Gallo, Stephen R

Gallo, Stephen R is an sole proprietor health care provider with primary practice located at 3800 S National Ave Ste 160 , Springfield MO 65807-5228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gallo, Stephen R can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
3800 S National Ave Ste 160 Springfield MO 65807-5228
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS18918 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2023013922 Missouri

Profile Details

NPI number 1710368725
LBN Legal business name Gallo, Stephen R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2015
Last updated May 20th, 2024 - about 2 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 1710368725 NPPES
Missouri MEDICAID 200122829

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