Fagan, Anthonyesha

Fagan, Anthonyesha is an individual health care provider with primary practice located at 821 Southbriar Rd , Toledo OH 43607-2561. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor. Other Service Providers / Contractor is her primary health care specialty. Fagan, Anthonyesha can be contacted via phone (419) 279-3433.

Contact Information

Primary practice address
821 Southbriar Rd Toledo OH 43607-2561
Phone: (419) 279-3433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X 4807696 Ohio

Profile Details

NPI number 1831514371
LBN Legal business name Fagan, Anthonyesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2014
Last updated Jan 7th, 2019 - about 7 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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