Eagan, Roger K
Eagan, Roger K is an individual health care provider with primary practice located at 2512 Wheaton Way Ste A , Bremerton WA 98310-3303. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Eagan, Roger K can be contacted via phone (360) 782-5700.Contact Information
Primary practice address
2512 Wheaton Way Ste A
Bremerton WA 98310-3303
Phone: (360) 782-5700
Fax: (253) 853-8067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00047354 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 00047354 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD00047354 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00047354 | Washington |
Profile Details
| NPI number | 1063557981 |
|---|---|
| LBN Legal business name | Eagan, Roger K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Dec 3rd, 2020 - about 5 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 | 1063557981 | NPPES |
| Washington | MEDICAID | 1033506 |
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