Gagnon, Samuel

Gagnon, Samuel is an individual health care provider with primary practice located at 265 Western Ave Ste 2 , South Portland ME 04106-2458. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gagnon, Samuel can be contacted via phone (207) 661-0200.

Contact Information

Primary practice address
265 Western Ave Ste 2 South Portland ME 04106-2458
Phone: (207) 661-0200
Fax: (207) 661-0299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1456 Maine

Profile Details

NPI number 1407121932
LBN Legal business name Gagnon, Samuel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2012
Last updated Jun 14th, 2021 - about 4 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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