Gagnon, Gregory
Gagnon, Gregory is an individual health care provider with primary practice located at 1562 Opossumtown Pike , Frederick MD 21702-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Gagnon, Gregory can be contacted via phone (240) 566-4500.Contact Information
Primary practice address
1562 Opossumtown Pike
Frederick MD 21702-4337
Phone: (240) 566-4500
Fax: (301) 694-5554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | D39954 | Maryland |
Profile Details
| NPI number | 1407854268 |
|---|---|
| LBN Legal business name | Gagnon, Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407854268 | NPPES |
| Maryland | MEDICAID | 758511000 |
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