Fagan, David S

Fagan, David S is an individual health care provider with primary practice located at 101 Boulder Point Dr Suite 1, Plymouth NH 03264-3170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fagan, David S can be contacted via phone (603) 536-4000.

Contact Information

Primary practice address
101 Boulder Point Dr Suite 1 Plymouth NH 03264-3170
Phone: (603) 536-4000
Fax: (603) 536-4001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NH8707 New Hampshire

Profile Details

NPI number 1841220423
LBN Legal business name Fagan, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 26th, 2010 - about 14 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 1841220423 NPPES
Vermont Other 11P018 MVP
Vermont Other FAGA18669 MVP
Vermont Other 137310 MVP
Vermont Other ANTHEM MVP
Vermont Other 110095743 MVP
Vermont MEDICAID 2165 MVP
Vermont MEDICAID 80002165 MVP

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