Nagel, Fred G

Nagel, Fred G is an individual health care provider with primary practice located at 1701 Club Manor Dr Suite 2, Maumelle AR 72113-7400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nagel, Fred G can be contacted via phone (501) 851-7400.

Contact Information

Primary practice address
1701 Club Manor Dr Suite 2 Maumelle AR 72113-7400
Fax: (501) 851-4753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C68072 Arkansas

Profile Details

NPI number 1922016674
LBN Legal business name Nagel, Fred G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 28th, 2012 - about 12 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 1922016674 NPPES
Arkansas MEDICAID 113243001

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