Fagan, Bryan Ignatius

Fagan, Bryan Ignatius is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr Emergency Dept, Bel Air MD 21014-4324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fagan, Bryan Ignatius can be contacted via phone (443) 643-2000.

Contact Information

Primary practice address
500 Upper Chesapeake Dr Emergency Dept Bel Air MD 21014-4324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0002882 Maryland

Profile Details

NPI number 1306979786
LBN Legal business name Fagan, Bryan Ignatius
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 25th, 2013 - about 12 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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