Fagan, Camille
Fagan, Camille is an individual health care provider with primary practice located at 11960 Westline Industrial Dr Ste 201 , Saint Louis MO 63146-3209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fagan, Camille can be contacted via phone (866) 433-9555.Contact Information
Primary practice address
11960 Westline Industrial Dr Ste 201
Saint Louis MO 63146-3209
Phone: (866) 433-9555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1164084455 |
|---|---|
| LBN Legal business name | Fagan, Camille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2019 |
| Last updated | Jan 10th, 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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