Bagan, Steven M
Bagan, Steven M is an sole proprietor health care provider with primary practice located at 4344 20Th Ave S , Fargo ND 58103-4434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bagan, Steven M can be contacted via phone (701) 293-8242.Contact Information
Primary practice address
4344 20Th Ave S
Fargo ND 58103-4434
Phone: (701) 293-8242
Fax: (701) 293-0909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4403 | North Dakota |
Profile Details
NPI number | 1487747267 |
---|---|
LBN Legal business name | Bagan, Steven M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1487747267 | NPPES |
North Dakota | MEDICAID | 13730 |
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