Agisim, Deborah G.

Agisim, Deborah G. is an individual health care provider with primary practice located at 700 E Morehead St Ste 300, Charlotte NC 28202-2788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Agisim, Deborah G. can be contacted via phone (704) 334-7800.

Contact Information

Primary practice address
700 E Morehead St Ste 300 Charlotte NC 28202-2788
Phone: (704) 334-7800
Fax: (704) 414-7512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23826 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200300546 North Carolina

Profile Details

NPI number 1154325553
LBN Legal business name Agisim, Deborah G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 20th, 2017 - about 8 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 1154325553 NPPES
North Carolina Other P00022677 RR MEDICARE (NC)
North Carolina MEDICAID 89134EE RR MEDICARE (NC)
North Carolina MEDICAID N30546 RR MEDICARE (NC)
North Carolina Other 1154325553 RR MEDICARE (NC)

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