Fagan, Charles G.

Fagan, Charles G. is an individual health care provider with primary practice located at 832 Princeton Ave Sw , Birmingham AL 35211-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fagan, Charles G. can be contacted via phone (205) 503-4281.

Contact Information

Primary practice address
832 Princeton Ave Sw Birmingham AL 35211-1320
Phone: (205) 503-4281
Fax: (205) 503-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 13522 Alabama

Profile Details

NPI number 1710073820
LBN Legal business name Fagan, Charles G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 1st, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710073820 NPPES
Alabama MEDICAID 051556458

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