Fagan, Roy O
Fagan, Roy O is an sole proprietor health care provider with primary practice located at 419 W Harrison St , Reidsville NC 27320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fagan, Roy O can be contacted via phone (336) 342-4448.Contact Information
Primary practice address
419 W Harrison St
Reidsville NC 27320
Phone: (336) 342-4448
Fax: (336) 342-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 130425 | North Carolina |
Profile Details
| NPI number | 1023075140 |
|---|---|
| LBN Legal business name | Fagan, Roy O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | May 30th, 2013 - about 11 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 | 1023075140 | NPPES |
| North Carolina | MEDICAID | 7931038 |
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