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
Fax: (203) 503-3224
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629469093 NPPES
Connecticut Other 7437 APRN
Connecticut MEDICAID 008077937 APRN
Connecticut Other CSP.0067398 APRN

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