Fagbohun, Joseph D
Fagbohun, Joseph D is an individual health care provider with primary practice located at 112 N 7Th St , Chambersburg PA 17201-1720. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fagbohun, Joseph D can be contacted via phone (717) 217-4300.Contact Information
Primary practice address
112 N 7Th St
Chambersburg PA 17201-1720
Phone: (717) 217-4300
Fax: (717) 217-4217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 733191 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R219135 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 733191 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP018994 | Pennsylvania |
Profile Details
| NPI number | 1033497771 |
|---|---|
| LBN Legal business name | Fagbohun, Joseph D |
| Credentials | DNP,APRN,FNP-BC,NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2011 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1033497771 | NPPES |
| Pennsylvania | MEDICAID | 103518869 | |
| Pennsylvania | MEDICAID | 3027344 |
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