Gagnon, Duane
Gagnon, Duane is an sole proprietor health care provider with primary practice located at 2400 W Quail Springs Ranch Rd , Cottonwood AZ 86326-2892. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gagnon, Duane can be contacted via phone (928) 301-7098.Contact Information
Primary practice address
2400 W Quail Springs Ranch Rd
Cottonwood AZ 86326-2892
Phone: (928) 301-7098
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1235330259 |
|---|---|
| LBN Legal business name | Gagnon, Duane |
| Credentials | MA, EDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 26th, 2007 - about 17 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 | 1235330259 | NPPES |
| Arizona | MEDICAID | 687957 |
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