Eagan, Marie T
Eagan, Marie T is an sole proprietor health care provider with primary practice located at 20 Vanderventer Ave Ste 100E , Port Washington NY 11050-3752. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Eagan, Marie T can be contacted via phone (516) 944-9460.Contact Information
Primary practice address
20 Vanderventer Ave Ste 100E
Port Washington NY 11050-3752
Phone: (516) 944-9460
Fax: (516) 944-9427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X003730-1 | New York |
Profile Details
| NPI number | 1225107626 |
|---|---|
| LBN Legal business name | Eagan, Marie T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jun 4th, 2008 - about 16 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 | 1225107626 | NPPES |
| New York | Other | CO3730-1B | WORKERS COMP. AUTHORIZATI |
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