Gannon, Amy

Gannon, Amy is an sole proprietor health care provider with primary practice located at 201 Middlebridge Rd , Wakefield RI 02879-7105. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Gannon, Amy can be contacted via phone (860) 817-6905.

Contact Information

Primary practice address
201 Middlebridge Rd Wakefield RI 02879-7105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1639616477
LBN Legal business name Gannon, Amy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2017
Last updated Jan 31st, 2017 - about 8 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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