Fagen, Patricia Marie
Fagen, Patricia Marie is an individual health care provider with primary practice located at 2175 N Whitley Dr , Fruitland ID 83619-2132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fagen, Patricia Marie can be contacted via phone (208) 452-0303.Contact Information
Primary practice address
2175 N Whitley Dr
Fruitland ID 83619-2132
Phone: (208) 452-0303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1068 | Idaho |
Profile Details
| NPI number | 1710584818 |
|---|---|
| LBN Legal business name | Fagen, Patricia Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2020 |
| Last updated | Oct 2nd, 2020 - about 5 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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