Gagnon, Thomas A

Gagnon, Thomas A is an individual health care provider with primary practice located at 510 Se 13Th St , Grand Rapids MN 55744-4233. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gagnon, Thomas A can be contacted via phone (218) 327-2570.

Contact Information

Primary practice address
510 Se 13Th St Grand Rapids MN 55744-4233
Phone: (218) 327-2570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300315 Minnesota

Profile Details

NPI number 1245448927
LBN Legal business name Gagnon, Thomas A
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 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.

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