Fagen, Lee Marshall

Fagen, Lee Marshall is an individual health care provider with primary practice located at 2222 Bancroft Ext , Berkeley CA 94720-4303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Fagen, Lee Marshall can be contacted via phone (510) 643-9135.

Contact Information

Primary practice address
2222 Bancroft Ext Berkeley CA 94720-4303
Phone: (510) 643-9135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN373234, NP7501 California

Profile Details

NPI number 1275639098
LBN Legal business name Fagen, Lee Marshall
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
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.

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