Agan, Joseph
Agan, Joseph is an sole proprietor health care provider with primary practice located at 606 North Razorback Road , Fayetteville AR 72701. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Agan, Joseph can be contacted via phone (479) 575-2070.Contact Information
Primary practice address
606 North Razorback Road
Fayetteville AR 72701
Phone: (479) 575-2070
Fax: (479) 575-4507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2211 | Arkansas |
Profile Details
| NPI number | 1902060346 |
|---|---|
| LBN Legal business name | Agan, Joseph |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Oct 20th, 2014 - about 11 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 | 1902060346 | NPPES |
| Arkansas | MEDICAID | 168216721 |
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