Gaughan, Ellen Celeste

Gaughan, Ellen Celeste is an sole proprietor health care provider with primary practice located at 159 Margaret Street Suite 500, Plattsburgh NY 12901-1874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Gaughan, Ellen Celeste can be contacted via phone (518) 566-8603.

Contact Information

Primary practice address
159 Margaret Street Suite 500 Plattsburgh NY 12901-1874
Phone: (518) 566-8603
Fax: (518) 566-8582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 213308 New York
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 213308 New York

Profile Details

NPI number 1366448599
LBN Legal business name Gaughan, Ellen Celeste
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Nov 3rd, 2014 - about 10 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 1366448599 NPPES
New York Other 000495471003 BLUE SHIELD OF NENY
New York Other P010213308 BLUE SHIELD OF NENY
New York MEDICAID 01998998 BLUE SHIELD OF NENY
New York Other 130023170 BLUE SHIELD OF NENY
New York Other 141826450 BLUE SHIELD OF NENY
New York Other 8C1231 BLUE SHIELD OF NENY
New York Other 141826450 BLUE SHIELD OF NENY
New York Other 110639300 BLUE SHIELD OF NENY
New York Other 698338 BLUE SHIELD OF NENY

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