Fagan, Thomas A.

Fagan, Thomas A. is an sole proprietor health care provider with primary practice located at 75 Dorchester St , South Boston MA 02127-2228. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fagan, Thomas A. can be contacted via phone (617) 464-2227.

Contact Information

Primary practice address
75 Dorchester St South Boston MA 02127-2228
Phone: (617) 464-2227
Fax: (617) 268-4218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2284 Massachusetts

Profile Details

NPI number 1790812352
LBN Legal business name Fagan, Thomas A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Nov 21st, 2016 - about 9 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 1790812352 NPPES
Massachusetts Other 352504 HARVARD PILGRIM HEALTH
Massachusetts Other Y36717 HARVARD PILGRIM HEALTH

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