Gagnon, Amanda J

Gagnon, Amanda J is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240-7027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gagnon, Amanda J can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240-7027
Phone: (207) 662-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DO3559 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO3559 Maine

Profile Details

NPI number 1316574635
LBN Legal business name Gagnon, Amanda J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Aug 28th, 2023 - about 3 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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