Fagan, Carolyn W

Fagan, Carolyn W is an sole proprietor health care provider with primary practice located at 2954 Rodeo Park Dr W , Santa Fe NM 87505-6351. She recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as her primary health care specialty. Fagan, Carolyn W can be contacted via phone (505) 424-0131.

Contact Information

Primary practice address
2954 Rodeo Park Dr W Santa Fe NM 87505-6351
Phone: (505) 424-0131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X #456 New Mexico

Profile Details

NPI number 1215940994
LBN Legal business name Fagan, Carolyn W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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