Fagerburg, Rodger E
Fagerburg, Rodger E is an individual health care provider with primary practice located at 743 Jefferson Ave Ste 104 , Scranton PA 18510-1636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fagerburg, Rodger E can be contacted via phone (570) 342-5253.Contact Information
Primary practice address
743 Jefferson Ave Ste 104
Scranton PA 18510-1636
Phone: (570) 342-5253
Fax: (570) 342-6038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD019917E | Pennsylvania |
Profile Details
| NPI number | 1215967294 |
|---|---|
| LBN Legal business name | Fagerburg, Rodger E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215967294 | NPPES |
| Pennsylvania | MEDICAID | 0007992800003 |
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