Individual
JOHN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
520 CAPISIC ST, PORTLAND, ME 04102-1741
(207) 772-2311
(207) 772-2419
Mailing address
520 CAPISIC ST, PORTLAND, ME 04102-1741
(207) 772-2311
(207) 772-2419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
658
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023203
ANTHEM
ME
Enumeration date
11/17/2006
Last updated
07/08/2007
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