Fagan, Jennifer Jane

Fagan, Jennifer Jane is an individual health care provider with primary practice located at 6 Fremont Rd , West Sayville NY 11796-1009. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fagan, Jennifer Jane can be contacted via phone (631) 678-1355.

Contact Information

Primary practice address
6 Fremont Rd West Sayville NY 11796-1009
Phone: (631) 678-1355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1174179121
LBN Legal business name Fagan, Jennifer Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2019
Last updated Aug 15th, 2019 - about 7 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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