Fagan, Mckenzie Christine
Fagan, Mckenzie Christine is an individual health care provider with primary practice located at 105 Seville St , Philadelphia PA 19127-1811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, which is considered as her primary health care specialty. Fagan, Mckenzie Christine can be contacted via phone (724) 372-9269.Contact Information
Primary practice address
105 Seville St
Philadelphia PA 19127-1811
Phone: (724) 372-9269
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind | 2255R0406X | 9462063 | Pennsylvania |
Profile Details
NPI number | 1942842398 |
---|---|
LBN Legal business name | Fagan, Mckenzie Christine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2019 |
Last updated | Oct 16th, 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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