Cagnon, Roger

Cagnon, Roger is an individual health care provider with primary practice located at 76 Summer St Suite 139, Fitchburg MA 01420-5783. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cagnon, Roger can be contacted via phone (978) 345-6729.

Contact Information

Primary practice address
76 Summer St Suite 139 Fitchburg MA 01420-5783
Fax: (978) 342-7503
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871961615
LBN Legal business name Cagnon, Roger
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 11 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 1871961615 NPPES
Massachusetts MEDICAID 11028046E

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