Gilbert, Nicholas Roy

Gilbert, Nicholas Roy is an sole proprietor health care provider with primary practice located at 152 Simsbury Rd Building 9, 2Nd Floor, Avon CT 06001-3777. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gilbert, Nicholas Roy can be contacted via phone (860) 269-3101.

Contact Information

Primary practice address
152 Simsbury Rd Building 9, 2Nd Floor Avon CT 06001-3777
Fax: (860) 269-3102
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 000976 Connecticut

Profile Details

NPI number 1083769590
LBN Legal business name Gilbert, Nicholas Roy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated May 2nd, 2011 - about 13 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 1083769590 NPPES
Connecticut MEDICAID 008004080

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