Fagan, Terri B
Fagan, Terri B is an individual health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fagan, Terri B can be contacted via phone (541) 789-7000.Contact Information
Primary practice address
2825 E Barnett Rd
Medford OR 97504-8332
Phone: (541) 789-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9500954N1 | Oregon |
Profile Details
| NPI number | 1568591998 |
|---|---|
| LBN Legal business name | Fagan, Terri B |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1568591998 | NPPES |
| Oregon | MEDICAID | 078071 |
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