Agan, Joseph

Agan, Joseph is an sole proprietor health care provider with primary practice located at 606 North Razorback Road , Fayetteville AR 72701. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Agan, Joseph can be contacted via phone (479) 575-2070.

Contact Information

Primary practice address
606 North Razorback Road Fayetteville AR 72701
Phone: (479) 575-2070
Fax: (479) 575-4507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2211 Arkansas

Profile Details

NPI number 1902060346
LBN Legal business name Agan, Joseph
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Oct 20th, 2014 - 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 1902060346 NPPES
Arkansas MEDICAID 168216721

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