Fagan, Christopher H.

Fagan, Christopher H. is an sole proprietor health care provider with primary practice located at 41945 Big Bear Blvd Ste 200 , Big Bear Lake CA 92315-2030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fagan, Christopher H. can be contacted via phone (909) 866-5868.

Contact Information

Primary practice address
41945 Big Bear Blvd Ste 200 Big Bear Lake CA 92315-2030
Phone: (909) 866-5868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G42774 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G42774 California

Profile Details

NPI number 1770538217
LBN Legal business name Fagan, Christopher H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Oct 31st, 2019 - about 6 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 1770538217 NPPES
California Other 00G427740 CALOPTIMA
California Other 930084553 CALOPTIMA
California Other G42774 CALOPTIMA
California Other 00G427740 CALOPTIMA
California MEDICAID 00G427740 CALOPTIMA
California Other 930084908 CALOPTIMA
California Other 050618CA49112 CALOPTIMA

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