Gallant, Brian S
Gallant, Brian S is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Gallant, Brian S can be contacted via phone (203) 503-3000.Contact Information
Primary practice address
428 Columbus Ave
New Haven CT 06519-1233
Phone: (203) 503-3000
Fax: (203) 503-3224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 7437 | Connecticut |
Profile Details
| NPI number | 1629469093 |
|---|---|
| LBN Legal business name | Gallant, Brian S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2015 |
| Last updated | Mar 7th, 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 | 1629469093 | NPPES |
| Connecticut | Other | 7437 | APRN |
| Connecticut | MEDICAID | 008077937 | APRN |
| Connecticut | Other | CSP.0067398 | APRN |
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