Fagan, William

Fagan, William is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1666. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fagan, William can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1666
Phone: (808) 242-6464
Fax: (808) 984-7442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC163 Hawaii

Profile Details

NPI number 1417976143
LBN Legal business name Fagan, William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 9th, 2010 - about 16 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 1417976143 NPPES
Hawaii MEDICAID 54551901
Hawaii Other 235226
Hawaii Other 990176859

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