Fagan, Susan Millie

Fagan, Susan Millie is an individual health care provider with primary practice located at 2650 Washburn Way Suite 240, Klamath Falls OR 97603. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fagan, Susan Millie can be contacted via phone (541) 363-0201.

Contact Information

Primary practice address
2650 Washburn Way Suite 240 Klamath Falls OR 97603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11945 Oregon

Profile Details

NPI number 1891858742
LBN Legal business name Fagan, Susan Millie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated May 8th, 2024 - about 7 months 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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