Fago, Julie Patterson

Fago, Julie Patterson is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Fago, Julie Patterson can be contacted via phone (603) 650-5000.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 9224 New Hampshire

Profile Details

NPI number 1821114539
LBN Legal business name Fago, Julie Patterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821114539 NPPES
Vermont MEDICAID 0RE3186

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