Gavin, James Patrick
Gavin, James Patrick is an sole proprietor health care provider with primary practice located at 7 Cambridge Dr Ste 201 , Trumbull CT 06611-4763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gavin, James Patrick can be contacted via phone (203) 335-0195.Contact Information
Primary practice address
7 Cambridge Dr Ste 201
Trumbull CT 06611-4763
Phone: (203) 335-0195
Fax: (203) 335-7293
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 033143 | Connecticut |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 033143 | Connecticut |
Profile Details
NPI number | 1609875491 |
---|---|
LBN Legal business name | Gavin, James Patrick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 14th, 2005 |
Last updated | Jun 12th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609875491 | NPPES |
Connecticut | MEDICAID | 001331438 |
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