Individual
RACHEL JAGROWSKI GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 N RITTER AVE STE 370, INDIANAPOLIS, IN 46219-3098
(317) 355-1144
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002744A
IN
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264431049
MEDICARE
IN
05
—
300047612
—
IN
Enumeration date
06/25/2019
Last updated
12/09/2022
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