Fagan, Alice Lorraine

Fagan, Alice Lorraine is an individual health care provider with primary practice located at 1053 Center Street Sc House Calls Inc, West Columbia SC 29169. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fagan, Alice Lorraine can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
1053 Center Street Sc House Calls Inc West Columbia SC 29169
Phone: (800) 491-0909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AG03200068 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24467 South Carolina

Profile Details

NPI number 1255947974
LBN Legal business name Fagan, Alice Lorraine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Nov 30th, 2020 - about 4 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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