Gagnon, Melanie Anne

Gagnon, Melanie Anne is an individual health care provider with primary practice located at 436 East St , Bloomsburg PA 17815-1849. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gagnon, Melanie Anne can be contacted via phone (717) 514-1057.

Contact Information

Primary practice address
436 East St Bloomsburg PA 17815-1849
Phone: (717) 514-1057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008447L Pennsylvania

Profile Details

NPI number 1770582249
LBN Legal business name Gagnon, Melanie Anne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 22nd, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770582249 NPPES
Pennsylvania MEDICAID 01840210
Pennsylvania Other 251844378
Pennsylvania Other 650021545
Pennsylvania Other GA920917
Pennsylvania Other 1537903
Pennsylvania Other 2584842
Pennsylvania Other 7911276
Pennsylvania Other 20036904
Pennsylvania Other 02202001

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