Galloway, Julie

Galloway, Julie is an individual health care provider with primary practice located at 2707 Sycamore Rd , Dekalb IL 60115-9201. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Galloway, Julie can be contacted via phone (815) 756-4430.

Contact Information

Primary practice address
2707 Sycamore Rd Dekalb IL 60115-9201
Fax: (815) 756-4350
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1912031097
LBN Legal business name Galloway, Julie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 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 1912031097 NPPES
Illinois MEDICAID 101541

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