Jean M Gallagher

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501003205 Issued in MI

Practice address

3535 Park St Ste 106
Norton Shores, MI 49444-3736

Phone

(231) 737-4570

Fax

(231) 728-5721

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1104867266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PARK ST STE 106",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-737-4570",
            "fax_number": "231-728-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST STE 106",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-737-4570",
            "fax_number": "231-728-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Leahy St",
            "address_2": "# 109",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425500",
            "country_code": "US",
            "telephone_number": "231-728-5720",
            "fax_number": "231-728-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JEAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501003205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.