Fage, Joshua Russell

Fage, Joshua Russell is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Fage, Joshua Russell can be contacted via phone (608) 263-9729.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-1016
Phone: (608) 263-9729
Fax: (608) 263-0682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018002740 Missouri
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 72671 Wisconsin

Profile Details

NPI number 1437579844
LBN Legal business name Fage, Joshua Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Jun 5th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1437579844 NPPES
Missouri MEDICAID 200063238

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