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Mr. Jeremy R. Gall

Sports Medicine

7601 W Jefferson Blvd
Fort Wayne , Indiana 46804-4133

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Mr. Jeremy R. Gall

Sports Medicine

7601 W Jefferson Blvd
Fort Wayne , Indiana 46804-4133

(260) 740-1261

Write a Review Save Call

Mr. Jeremy R. Gall

Sports Medicine

7601 W Jefferson Blvd
Fort Wayne , Indiana 46804-4133

(260) 740-1261 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

7601 W Jefferson Blvd Fort Wayne , Indiana 46804-4133

First Address

  • Mr. Jeremy R. Gall
  • 229 Barouche Pl
  • Fort Wayne, IN
  • Zip : 46845-2110
  • Phone : (260) 740-1261

Second Address

  • Mr. Jeremy R. Gall
  • 7601 W Jefferson Blvd
  • Fort Wayne, IN
  • Zip : 46804-4133
  • Phone : (260) 435-2620

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FAQs


Where did Mr. Jeremy R. Gall attend graduate school?

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Where did Mr. Jeremy R. Gall do his residency?

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Where did Mr. Jeremy R. Gall do his fellowship?

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Is Mr. Jeremy R. Gall board certified?

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In what state does Mr. Jeremy R. Gall practice in?

Indiana

Where is Mr. Jeremy R. Gall ’s practice located?

7601 W Jefferson Blvd , Fort Wayne, Indiana, 46804-4133

What is Mr. Jeremy R. Gall ’s gender?

Male

Is Mr. Jeremy R. Gall a sole practitioner?

No

Is Mr. Jeremy R. Gall accepting new patients?

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What languages does Mr. Jeremy R. Gall speak?

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Does Mr. Jeremy R. Gall accept insurance?

Yes, Mr. Jeremy R. Gall accepts insurance

Does Mr. Jeremy R. Gall offers telemedicine?

Mr. Jeremy R. Gall has not indicated if he offers telemedicine

What is Mr. Jeremy R. Gall ’s professional license number?

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What is Mr. Jeremy R. Gall ’s NPI number?

1063409332

Does Mr. Jeremy R. Gall have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2081S0010X Sports Medicine 36001023A IN
N 213ES0000X Sports Medicine 36001023A IN

National Provider Identifier

NPI 1063409332
Provider Name Mr. Jeremy R. Gall
First Address Fort Wayne, IN 46845-2110
Second Address Fort Wayne, IN 46804-4133
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/10/2005
Last Update Date 16/06/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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