Fagan, Leonard F

Fagan, Leonard F is an individual health care provider with primary practice located at 1001 S Kirkwood Rd Suite 100, Saint Louis MO 63122-7254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fagan, Leonard F can be contacted via phone (314) 965-9980.

Contact Information

Primary practice address
1001 S Kirkwood Rd Suite 100 Saint Louis MO 63122-7254
Phone: (314) 965-9980
Fax: (314) 965-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R5G47 Missouri

Profile Details

NPI number 1679570808
LBN Legal business name Fagan, Leonard F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 20th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679570808 NPPES
Missouri MEDICAID 202362620

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