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Contact Information

JOHN GALLAGHER
415 E MADISON ST
SOUTH BEND, IN46617-2322
 Phone: 574-283-1234
 Fax: 574-537-2652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JOHN GALLAGHER · (Male)

NPI Number 1265616346
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2007
Last updated 11/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 33006220A
  • IN License # 87001365A
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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