Fagan, James B
Fagan, James B is an individual health care provider with primary practice located at 745 W State St Ste 510, Columbus OH 43222-1515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fagan, James B can be contacted via phone (614) 464-0788.Contact Information
Primary practice address
745 W State St Ste 510
Columbus OH 43222-1515
Phone: (614) 464-0788
Fax: (614) 464-0295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35056285 | Ohio |
Profile Details
| NPI number | 1073599387 |
|---|---|
| LBN Legal business name | Fagan, James B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Sep 24th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073599387 | NPPES |
| Ohio | MEDICAID | 0688528 |
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