Active NPIIndividual provider

Jacqueline Gallagher, PA

Physician Assistant in Berlin, Vermont

NPI Number1063470557
Practice location
130 Fisher RD, Emergency Dept, Berlin, VT 05602-9516
Fax
802-371-4481
Last updated
December 15, 2014

Jacqueline Gallagher is a Physician Assistant based in Berlin, VT. Jacqueline Gallagher practices in Berlin, VT and has the professional credentials of PA. The NPI Number for Jacqueline Gallagher is 1063470557 and holds a License No. 586 (MA). The current practice location address for Jacqueline Gallagher is 130 Fisher RD, Emergency Dept, Berlin, VT 05602-9516 and can be reached out via phone at 802-371-4365 and via fax at 802-371-4481.

Provider Profile Details

NPI Number
1063470557
Provider Name
Jacqueline Gallagher
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
130 Fisher RD, Emergency Dept, Berlin, VT 05602-9516
Phone Number
802-371-4365
Fax Number
802-371-4481
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2006
Last Update Date
December 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Fisher RD
Emergency Dept
Berlin, VT 05602-9516
City
Berlin
State
Vermont
Zip
05602-9516
Phone Number
802-371-4365
Fax Number
802-371-4481
Berlin, VT 05602Get directions →

Provider Business Mailing Address Details

Address
Po Box 547
Att: Cvmc Finance Dept
Barre, VT 05641-0547
City
Barre
State
VT
Zip
05641-0547
Phone Number
802-371-4365
Fax Number
802-371-4481

License Information

License Number (1)
586
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
055.0031114
License State (2)
VT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Berlin, VT

View all Physician Assistants in Berlin →

Frequently Asked Questions

What is the NPI number of Jacqueline Gallagher, PA?

The NPI number of Jacqueline Gallagher, PA is 1063470557. It was assigned on May 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Gallagher, PA?

Jacqueline Gallagher, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 586.

Where does Jacqueline Gallagher, PA practice?

The practice location is 130 Fisher RD, Emergency Dept, Berlin, VT 05602-9516. The office can be reached at 802-371-4365 (phone) or 802-371-4481 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063470557 directly on the NPPES registry website.

Browse related providers