Fagan, Leonard F
Fagan, Leonard F is an individual health care provider with primary practice located at 1001 S Kirkwood Rd Suite 100, Saint Louis MO 63122-7254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fagan, Leonard F can be contacted via phone (314) 965-9980.Contact Information
Primary practice address
1001 S Kirkwood Rd Suite 100
Saint Louis MO 63122-7254
Phone: (314) 965-9980
Fax: (314) 965-1127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R5G47 | Missouri |
Profile Details
| NPI number | 1679570808 |
|---|---|
| LBN Legal business name | Fagan, Leonard F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | May 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679570808 | NPPES |
| Missouri | MEDICAID | 202362620 |
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