Agahan, Margie A

Agahan, Margie A is an sole proprietor health care provider with primary practice located at 590 South Marine Drive Suite 131, Gitc Bldg, Tamuning GU 96931. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Agahan, Margie A can be contacted via phone (671) 649-0600.

Contact Information

Primary practice address
590 South Marine Drive Suite 131, Gitc Bldg Tamuning GU 96931
Phone: (671) 649-0600
Fax: (671) 649-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GUAM LIC. 016 Guam

Profile Details

NPI number 1902097652
LBN Legal business name Agahan, Margie A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Aug 7th, 2007 - about 19 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 1902097652 NPPES
Guam MEDICAID 168

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