Maginn, Patrick C

Maginn, Patrick C is an individual health care provider with primary practice located at 625 9Th Ave Suite 120, Longview WA 98632-2464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Maginn, Patrick C can be contacted via phone (360) 425-3720.

Contact Information

Primary practice address
625 9Th Ave Suite 120 Longview WA 98632-2464
Fax: (360) 425-0090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000193Z5 Washington

Profile Details

NPI number 1063410512
LBN Legal business name Maginn, Patrick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Oct 22nd, 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 1063410512 NPPES
Oregon Other 115655 MEDICARE
Oregon MEDICAID 1819002 MEDICARE

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