Deegan, Brian John

Deegan, Brian John is an individual health care provider with primary practice located at 2370 Market Dr , Fleming Island FL 32003. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Deegan, Brian John can be contacted via phone (904) 264-6201.

Contact Information

Primary practice address
2370 Market Dr Fleming Island FL 32003
Phone: (904) 264-6201
Fax: (904) 264-6858
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME135085 Florida

Profile Details

NPI number 1639513757
LBN Legal business name Deegan, Brian John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2013
Last updated Oct 29th, 2018 - about 8 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 1639513757 NPPES
Florida Other H6U17 FL BLUE
Florida Other JK033Z FL BLUE
Florida Other P02093071 FL BLUE
Florida MEDICAID 024277400 FL BLUE

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