- Practice location
- 130 Fisher RD, Emergency Dept, Berlin, VT 05602-9516
- Phone
- 802-371-4365
- 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
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 →- Aimee N Ahari, PA-CPhysician Assistant · NPI 1639448418
- Christopher J Aubin, PA-CPhysician Assistant · NPI 1487897104
- Irene Chamberlain, PAPhysician Assistant · NPI 1528599297
- Justine Gadd, PAPhysician Assistant · NPI 1669499430
- Mr. Dominic C Ayer, MS PA-CPhysician Assistant · NPI 1033565478
- Nicole ClarkPhysician Assistant · NPI 1720606130
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.