Fagenholz, Samuel Allen

Fagenholz, Samuel Allen is an individual health care provider with primary practice located at 300 State St Ste 301 , Erie PA 16507-1430. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fagenholz, Samuel Allen can be contacted via phone (814) 877-7907.

Contact Information

Primary practice address
300 State St Ste 301 Erie PA 16507-1430
Phone: (814) 877-7907
Fax: (814) 877-6791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD021621E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X MD021621E Pennsylvania

Profile Details

NPI number 1376549998
LBN Legal business name Fagenholz, Samuel Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 18th, 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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