Provider Demographics
NPI:1316605702
Name:GALLAGHER CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:GALLAGHER CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-537-0555
Mailing Address - Street 1:54 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3276
Mailing Address - Country:US
Mailing Address - Phone:978-537-0555
Mailing Address - Fax:978-537-2193
Practice Address - Street 1:54 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3276
Practice Address - Country:US
Practice Address - Phone:978-537-0555
Practice Address - Fax:978-537-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty