Chad Gagnon is a Medical in Smith River, California. Chad Gagnon practices all healthcare services and medical treatments related to Medical. The NPI Number for Chad Gagnon is 1568460665. The last update date is 2007-07-16.
Chad Gagnon's current location address is 501 N Indian Rd, Smith River, California. You can contact this provider via phone number 7074870215 and fax number 7074871304. The mailing address for Chad Gagnon is 501 N Indian Rd, Smith River, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Gagnon |
|---|---|
| Address | 501 N Indian Rd, Smith River, California |
| Phone Number | 7074870215 |
| Fax Number | 7074871304 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568460665 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 501 N Indian Rd |
|---|---|
| City | Smith River |
| State | California (CA) |
| Post Code | 955679509 |
| Phone Number | 7074870215 |
| Fax Number | 7074871304 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10396 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Chad Gagnon by the Centers for Medicare & Medicaid Services (CMS)?
The Chad Gagnon has been assigned the NPI (National Provider Identifier) 1568460665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Chad Gagnon's facilities are situated?
The facilities of Chad Gagnon are physically located at the following address: 501 N Indian Rd, Smith River, CA, 955679509.
What is Chad Gagnon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chad Gagnon's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date was the 1568460665 assigned to Chad Gagnon?
The Chad Gagnon was issued its 1568460665 on 2005-07-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Chad Gagnon most recently updated?
The details pertaining to the Chad Gagnon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-16.