Nagata, Fred Hisao
Nagata, Fred Hisao is an sole proprietor health care provider with primary practice located at 1191 E Herndon Ave Ste 101, Fresno CA 93720-3164. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Nagata, Fred Hisao can be contacted via phone (559) 435-3039.Contact Information
Primary practice address
1191 E Herndon Ave Ste 101
Fresno CA 93720-3164
Phone: (559) 435-3039
Fax: (559) 435-1105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2516 | California |
Profile Details
| NPI number | 1861459216 |
|---|---|
| LBN Legal business name | Nagata, Fred Hisao |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 22nd, 2010 - about 14 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 | 1861459216 | NPPES |
| California | MEDICAID | 000E25160 |
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