Gleason, John

Gleason, John is an sole proprietor health care provider with primary practice located at 2960 Post Rd , Southport CT 06890-1268. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gleason, John can be contacted via phone (203) 307-3030.

Contact Information

Primary practice address
2960 Post Rd Southport CT 06890-1268
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1760043590
LBN Legal business name Gleason, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 7 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 1760043590 NPPES
Connecticut Other GLEASON AETNA

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