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Contact Information

GABRIELLE F ALTAN
108 W MARKET ST
BLOOMINGTON, IL61701-3918
 Phone: 309-827-5351
 Fax: 309-829-6808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GABRIELLE F ALTAN · (Female)

NPI # 1417796319
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2024
Last updated 05/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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