Nielan, Gary John

Nielan, Gary John is an individual health care provider with primary practice located at 2207 Boston Rd , Wilbraham MA 01095-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Nielan, Gary John can be contacted via phone (413) 599-1201.

Contact Information

Primary practice address
2207 Boston Rd Wilbraham MA 01095-1155
Phone: (413) 599-1201
Fax: (413) 596-2940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 155058 Massachusetts

Profile Details

NPI number 1568458479
LBN Legal business name Nielan, Gary John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 7th, 2023 - about last year

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 1568458479 NPPES
Other 2017078 AETNA/USHC
Other 155058 AETNA/USHC
Other 23378 AETNA/USHC
Other 28036 AETNA/USHC
Other 353451 AETNA/USHC
Other J18133 AETNA/USHC
Other 102170 AETNA/USHC
Other 1550588404 AETNA/USHC
MEDICAID 3182916 AETNA/USHC
Other 1204585 AETNA/USHC
Other 155058 AETNA/USHC
Other 975887 AETNA/USHC
Other 010155058MA01 AETNA/USHC
Other 201928 AETNA/USHC
Other 000000008141 AETNA/USHC

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