Gannon, Stephen Michael

Gannon, Stephen Michael is an sole proprietor health care provider with primary practice located at 75 Lindall St , Danvers MA 01923-2121. He recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gannon, Stephen Michael can be contacted via phone (617) 529-5511.

Contact Information

Primary practice address
75 Lindall St Danvers MA 01923-2121
Phone: (617) 529-5511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22822 Massachusetts

Profile Details

NPI number 1538462312
LBN Legal business name Gannon, Stephen Michael
Credentials LADC1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2010
Last updated Aug 8th, 2023 - about 2 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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