Provider Demographics
NPI:1801684006
Name:CARRIGAN, GARY II
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:
Last Name:CARRIGAN
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 SOUTHWYCK BLVD STE 2P
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1553
Mailing Address - Country:US
Mailing Address - Phone:419-913-8680
Mailing Address - Fax:
Practice Address - Street 1:5461 SOUTHWYCK BLVD STE 2P
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1553
Practice Address - Country:US
Practice Address - Phone:419-913-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator