Gagnon, Patrick Lynn

Gagnon, Patrick Lynn is an sole proprietor health care provider with primary practice located at 80 E Broadway Apt D , Milford CT 06460-6120. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gagnon, Patrick Lynn can be contacted via phone (203) 815-0691.

Contact Information

Primary practice address
80 E Broadway Apt D Milford CT 06460-6120
Phone: (203) 815-0691
Fax: (203) 815-0691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 000894 Connecticut

Profile Details

NPI number 1083748214
LBN Legal business name Gagnon, Patrick Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Feb 26th, 2018 - about 6 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 1083748214 NPPES
Connecticut MEDICAID 004174843

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