Gagnon, David R
Gagnon, David R is an individual health care provider with primary practice located at 100 Campus Dr Ste 12 , Portsmouth NH 03801-5892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gagnon, David R can be contacted via phone (603) 422-8208.Contact Information
Primary practice address
100 Campus Dr Ste 12
Portsmouth NH 03801-5892
Phone: (603) 422-8208
Fax: (603) 422-8218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12177 | Maine |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 7236 | New Hampshire |
Profile Details
| NPI number | 1831145259 |
|---|---|
| LBN Legal business name | Gagnon, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831145259 | NPPES |
| New Hampshire | MEDICAID | 30001207 | |
| New Hampshire | MEDICAID | 239030099 |
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