Galloway, Jacqulyn

Galloway, Jacqulyn is an individual health care provider with primary practice located at 11783 Rock Landing Dr Suite 202, Newport News VA 23606-4431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Galloway, Jacqulyn can be contacted via phone (757) 668-6300.

Contact Information

Primary practice address
11783 Rock Landing Dr Suite 202 Newport News VA 23606-4431
Phone: (757) 668-6300
Fax: (757) 668-6310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101053437 Virginia

Profile Details

NPI number 1235181207
LBN Legal business name Galloway, Jacqulyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 11th, 2012 - about 14 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 1235181207 NPPES
Virginia Other 541778786 TAX ID #
Virginia Other 56204 TAX ID #
Virginia MEDICAID 6728791 TAX ID #
Virginia Other 859093 TAX ID #
Virginia Other 4121007 TAX ID #
Virginia Other 015100 TAX ID #
Virginia Other 600101779 TAX ID #
Virginia Other 541778786 TAX ID #
Virginia Other 859093 TAX ID #

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