Fugate, Marlin J

Fugate, Marlin J is an individual health care provider with primary practice located at 1303 Sw First American Pl , Topeka KS 66604-4059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fugate, Marlin J can be contacted via phone (785) 234-2306.

Contact Information

Primary practice address
1303 Sw First American Pl Topeka KS 66604-4059
Fax: (785) 234-2550
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-30249 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22513 Nebraska

Profile Details

NPI number 1275569535
LBN Legal business name Fugate, Marlin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Aug 8th, 2016 - about 9 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 1275569535 NPPES
Kansas MEDICAID 100458780B
Kansas Other 102945

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