Fagan, David B
Fagan, David B is an individual health care provider with primary practice located at 12700 Southfork Rd Ste 270, Saint Louis MO 63128-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fagan, David B can be contacted via phone (314) 543-5284.Contact Information
Primary practice address
12700 Southfork Rd Ste 270
Saint Louis MO 63128-3201
Phone: (314) 543-5284
Fax: (314) 543-5276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 104219 | Missouri |
Profile Details
| NPI number | 1952354763 |
|---|---|
| LBN Legal business name | Fagan, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 14th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952354763 | NPPES |
| Missouri | Other | 951589 | AETNA |
| Missouri | Other | 003011602 | AETNA |
| Missouri | Other | 339440 | AETNA |
| Missouri | Other | 200022602 | AETNA |
| Missouri | Other | 0907145 | AETNA |
| Missouri | Other | 17983 | AETNA |
| Missouri | Other | 222596 | AETNA |
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