Fagan, Walter J.

Fagan, Walter J. is an sole proprietor health care provider with primary practice located at 211 Center Ave , Jim Thorpe PA 18229-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Fagan, Walter J. can be contacted via phone (817) 845-1968.

Contact Information

Primary practice address
211 Center Ave Jim Thorpe PA 18229-1205
Phone: (817) 845-1968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD035284E Pennsylvania

Profile Details

NPI number 1659703635
LBN Legal business name Fagan, Walter J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 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.

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